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NORTH CAROLINA 

REGISTER 





ISSUE 22 • Pages 1900 




May 15, 2000 

4 ir If ir Ir 1 1 
IN THIS issue; , 

Executive Orders ■ 

ENR - Corrections to Public Hearings 

ENR-NPDES Permits 

Administration // /%^' 

Cosmetic Art Examiners // *<^^ 

Environment and Natural Resources. 

General Contractors, Board of ^ 

Health and Human Services 

Massage and Bodywork Therapy 

Pharmacy, Board of 

Secretary of State "^ -^^ %^ 

Rules Review Commission 

Contested Case Decisions 




» 



PUBLISHED BY 

The Office of Administrative Hearings 

Rules Division 

6714 Mail Service Center 

Raleigh, NC 27699-6714 

Telephone (919) 733-2678 

Fax (919) 733-3462 



This publication is printed on permanent, acid-free paper in compliance with G.S. 125-1 1.13 



For those persons that have questions or concerns regarding the Administrative Procedxire Act or any of its ^ 
components, consult with the agencies below. The bolded headings are typical issues which the given li 
agency can address, but are not inclusive. 



Rule Notices, Filings, Register, Deadlines, Copies of Proposed Rules, etc, 

Office of Administrative Hearings i. ^ . 

Rules Division ^M:%. M J| T |r> 



Capehart-Crocker House 

424 North Blount Street 

Raleigh, North Carolina 27601-2817 

contact: Molly Masich, Director APA Services 
Ruby Creech, Publications Coordinator 



(919)733-2678 
(919) 733-3462 FAX 

mmasich@oah.state.nc 
rcreech@oah.state.nc.us 



V // « 

Fiscal Notes & Economic Analysis 

Office of State Budget and Management 
/ 116West Jones Street 
// Raleigh, North Carolina 27603-8005 

1 1 contact: Warren Plonk, Economist III 



^* «. 



i^ 



11 



\l 



Rule Review and Legal Issues 

Rules Review Commission 
1307 Glenwood Ave., Suite 159 
Raleigh, North Carolina 27605 

contact: Joe DeLuca Jr., Staff Director Counsel 
Bobby Bryan, Staff Attorney 




(919) 733-7061 
(919) 733-0640 FAX 

wplonk@osbm.state.nc 

m m^ i» 'i* 



(919)733-2721 
(919) 733-9415 FAX 



.flj^Kjft ms ^imm^ . 



Le gislative Process Concerning Rule-making " U,7 

Joint Legislative Administrative Procedure Oversight Committee 

545 Legislative Office Building .^^.^^ itSfJFi^ 

300 North Satisbury Sti-eet ^^^^Tr----^.^ ^^^^^ 733-2578 

Raleigh, North Carolina 276 1 1 ^'"'^^^^^ITZ: (9 1 9) 7 1 5-5460 FAX 




contact: Mary Shuping, Staff Liaison 



marys@ms.ncga.state.nc.us 



County and Municipality Government Questions or Notification 

NC Association of County Commissioners 

215 North Dawson Sti-eet (919)715-2893 

Raleigh, North Carolina 27603 



contact: Jim Blackburn or Rebecca Troutman 

NC League of Municipalities 
215 North Dawson Street 
Raleigh, North Carolina 27603 

contact: Paula Thomas 



(919)715-4000 



This publication is printed on permanent, acid-free paper in compliance with G.S. 125-11.13 



» 



NORTH CAROLINA 
REGISTER 



IN THIS ISSUE 



} 




I. EXECUTIVE ORDERS 

Executive Order 168-169 



II. 



III. 



Volume 14, Issue 22 
Pages 1900 - 2022 



May 15, 2000 



This issue contains documents officially filed 
through April 24, 2000. 



IV. 



1900- 1902 



IN ADDITION 

Environment and Natural Resources 

ENR - Corrections to Public Hearings 
ENR - NPDES Permits 



1903 
1904 



RULE-MAKING PROCEEDINGS 
Health and Human Services 

Mental Health, Developmental Disabilities 

and Substance Abuse Services 1905 

Licensing Boards 

General Contractors, Board for 1905 

Pharmacy, Board of 1905 - 1906 



PROPOSED RULES 

Environment and Natural Resources 

Environmental Management Commission. . . 1970 - 1980 
Health and Human Services 

Facilities Services 1907 - 1970 

Licensing Boards 

Cosmetic Art Examiners 1982 - 1985 

Massage and Bodywork Therapy 1985 - 1993 

Secretary of State 

Securities Division 1980 - 1982 



Office of Administrative Hearings 

Rules Division 

424 North Blount Street (27601) 

6714 Mail Service Center 

Raleigh, NC 27699-6714 

(919)733-2678 

FAX (919) 733-3462 



Julian Mann III, Director 

Camille Winston, Deputy Director 

Molly Masich, Director of APA Services 

Ruby Creech, Publications Coordinator 

Linda Dupree, Editorial Assistant 

Jessica Flowers, Editorial Assistant 

Dana Sholes, Editorial Assistant 



V. TEMPORARY RULES 
Administration 

Environmental Policy Act 1994 - 1996 

Purchase and Contract 1 994 

Environment and Natural Resources 

Coastal Resources Commission 1999 - 2005 

Environmental Management Commission ... 1 998 - 1 999 

Health and Human Services 

Social Services Commission 1996 - 1998 

VI. RULES REVIEW COMMISSION 2006 - 2010 

VII. CONTESTED CASE DECISIONS 

Index to ALJ Decisions 201 1 - 2022 

Vm. CUMULATIVE INDEX 1-110 



> 



North Carolina Register is pubMshed semi-monthly for $195 per year by the Office of Administrative Hearings, 424 North Blount Street, Raleigh, NC 
27601. (ISSN 15200604) to mail at Periodicals Rates is paid at Raleigh, NC. POSTMASTER: Send Address changes to the North Carolina Register, 
PO Drawer 27447, Raleigh, NC 2761 1-7447. 



NORTH CAROLINA ADMINISTRATIVE CODE CLASSIFICATION SYSTEM 



The North Carolina Administrative Code (NCAC) has four major subdivisions of rules. Two of these, titles and chapters, 
are mandatory. The major subdivision of the NCAC is the title. Each major department in the North Carolina executive 
branch of government has been assigned a title number. Titles are further broken down into chapters which shall be 
numerical in order. The other two, subchapters and sections are optional subdivisions to be used by agencies when 
appropriate. 



TITLE/MAJOR DIVISIONS OF THE NORTH CAROLINA ADMINISTRATIVE CODE 



TITLE 


DEPARTMENT 


LICENSING BOARDS 


CHAPTER 


1 


Administration 


Acupuncture 


1 


2 


Agriculture 


Architecture 


2 


3 


Auditor 


Athletic Trainer Examiners 


3 


4 


Commerce 


Auctioneers 


4 


5 


Correction 


Barber Examiners 


6 


6 


Council of State 


Certified Public Accountant Examiners 


8 


7 


Cultural Resources 


Chiropractic Examiners 


10 


8 


Elections 


Employee Assistance Professionals 


11 


9 


Governor 


General Contractors 


12 


10 


Health and Human Services 


Cosmetic Art Examiners 


14 


11 


Insurance 


Dental Examiners 


16 


12 


Justice 


Dietetics/Nutrition 


17 


13 


Labor 


Electrical Contractors 


18 


14A 


Crime Control & Public Safety 


Electrolysis 


19 


15A 


Environment and Natural Resources 


Foresters 


20 


16 


Public Education 


Geologists 


21 


17 


Revenue 


Hearing Aid Dealers and Fitters 


22 


18 


Secretary of State 


Landscape Architects 


26 


19A 


Transportation 


Landscape Contractors 


28 


20 


Treasurer 


Massage & Bodywork Therapy 


30 


*21 


Occupational Licensing Boards 


Marital and Family Therapy 


31 


22 


Administrative Procedures (Repealed) 


Medical Examiners 


32 


23 


Community Colleges 


Midwifery Joint Committee 


33 


24 


Independent Agencies 


Mortuary Science 


34 


25 


State Personnel 


Nursing 


36 


26 


Administrative Hearings 


Nursing Home Administrators 


37 


27 


NC State Bar 


Occupational Therapists 


38 






Opticians 


40 






Optometry 


42 






Osteopathic Examination & Reg. (Repealed) 


44 






Pastoral Counselors, Fee-Based Practicing 


45 






Pharmacy 


46 






Physical Therapy Examiners 


48 






Plimibing, Heating & Fire Sprinkler Contractors 


50 






Podiatry Examiners 


52 






Professional Counselors 


53 






Psychology Board 


54 






Professional Engineers & Land Surveyors 


56 






Real Estate Appraisal Board 


57 






Real Estate Commission 


58 






Refrigeration Examiners 


60 






Sanitarian Examiners 


62 






Social Work Certification 


63 






Soil Scientists 


69 






Speech & Language Pathologists & Audiologists 


64 






Substance Abuse Professionals 


68 






Therapeutic Recreation Certification 


65 






Veterinary Medical Board 


66 



Note: Title 21 contains the chapters of the various occupational licensing boards. 



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\ 



EXECUTIVE ORDERS 



EXECUTIVE ORDER NO. 168 

COMMUNITY SERVICE LEAVE 

FOR STATE EMPLOYEES 

WHEREAS, the State of North Carolina recognizes the 
diverse and distinct needs of its schools, communities and 
citizens; and, 

WHEREAS, the employees of state government embrace and 
accept the gubernatorial charge to make North Carolina schools 
"First In America" by the year 2010; and, 

WHEREAS, the employees of state government are 
committed to public service and are engaged in the delivery of 
diverse programs and services on behalf and in support of North 
Carolina's schools, communities and citizens; and, 

WHEREAS, the employees of state government represent an 
important and significant source of volunteers who offer their 
talents and energies to the State's schools, communities and 
citizens and who support the work of public and private non- 
profit organizations; and, 

WHEREAS, the employees of state government are 
committed to and often engaged in supporting the State's 
schools, communities, citizens and non-profit organizations by 
volunteering time and effort but are often unable to meet those 
needs during regularly scheduled work hours. 

NOW, THEREFORE, by the power vested in me as Governor 
by the laws and Constitution of North Carolina, IT IS 
ORDERED: 

Section 1 : CommunityService Leave for State Employees 
Established 

In recognition of the State's diverse needs for volunteers to 
support schools, communities, citizens and non-profit 
organizations, and recognizing the commitment of state 
employees to engage in volunteer service to the State, the North 
Carolina Office of State Personnel shall establish a program for 
awarding Community Service Leave to state employees subject 
to the State Personnel Act. 

Section 2: Purpose and Administration 

Community Service Leave shall be available to all eligible 
state employees to encourage volunteerism in support of North 
Carolina's schools, communities, citizens and non-profit 
organizations. This leave shall incorporate existing leave 
policies previously approved by the State Personnel Commission 
for child involvement and community involvement. 



State employees shall be awarded twenty-four (24) hours of 
Community Service Leave annually which may be used for 
volunteer participation in the programs, services and 
organizations indicated below, or they may elect to receive an 
award equivalent to one (1) hour for each week that a public 
school is in session. The latter award is to be used exclusively 
for mentoring or tutoring students in North Carolina schools. 

Leave for Child Involvement and School Volunteerism 
Employees may use all or part of their annual allotment of 
Community Service Leave to volunteer time in support of 
programs and services in public and private elementary, middle 
and high schools, and licensed public and private day care and 
pre-school settings. A parent may use this leave to meet with a 
teacher or administrator concerning the parent's child or may 
attend any educational function sponsored by the school in 
which the child is participating. 

Leave for Non-Profit Organization Volunteerism 
Employees may use all or part of their annual 24-hour 
allotment of Community Service Leave to volunteer time in non- 
profit, non-partisan community organizations which are 
designated as 501(c)(3) agencies under the Internal Revenue 
Code, or human services organizations licensed or accredited to 
serve citizens with special needs including children, youth, and 
the elderly. 

Leave for Tutoring and Mentoring in North Carolina Schools 
In lieu of the 24-hour award as noted above, employees may 
elect to receive one ( 1 ) hour of volunteer leave for each week 
that public schools are in session as documented by a local 
Board of Education. This leave award shall be used exclusively 
for tutoring or mentoring a student in accordance with 
established standards, rules and guidelines for such 
arrangements as determined and documented byjoint agreement 
with the employee's agency or university and the school. A 
"school" is one that is authorized to operate under the laws of the 
State of North Carolina and is an elementary school, middle 
school, high school, or child care program. 

Section 3: Establishment of Policy 

The North Carolina State Personnel Commission in concert 
with the State Personnel Director shall develop appropriate 
policies, rules, procedures and criteria for the administration and 
reporting of Community Service Leave. 

Section 4: Effective Date 

Community Service Leave shall be available to state 
employees upon approval of a Community Service Leave policy 
by the State Personnel Commission. 



Leave awarded under any of these provisions is considered 
Community Service Leave and shall be accounted for under the 
provisions of a Community Service Leave policy to be 
promulgated by the State Personnel Commission. Community 
Service Leave shall be awarded in lieu of existing policies for 
Child Involvement and Community Involvement Leave. 



This Order is effective immediately. 

Done in the Capital City of Raleigh, North Carolina, this 1 3th 
dayof April, 2000. 



s/sJames B. Hunt Jr. 
Governor 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1900 



EXECUTIVE ORDERS 



ATTEST: 



s/sElaine F. Marshall 
Secretary of State 

EXECUTIVE ORDER NO. 169 

GOVERNOR'S PUBLIC MANAGEMENT 

FELLOWSHIP PROGRAM 

WHEREAS, the State of North Carolina has a continuing need 
to attract and retain exceptionally capable and highly trained 
public managers and policy researchers; and, 

WHEREAS, the State has nine universities within the 
University of North Carolina system and one private university 
training students to assume leadership roles as public managers 
and policy researchers through Master of Public Administration 
or similarly focused programs; and, 

WHEREAS, the graduates of these programs would bring 
innovative ideas and leadership to human resources, policy 
development, finance, planning and analysis, and other functions 
of state government; and. 



c. 



d. 



managerial talent available to the state; 

Communicate clearly the importance of ability and 

appropriate advanced education in state government; 

and. 

Create a partnership of public, private and academic 

sectors to improve the quality of state government. 



Section 3. Administration. 



The State Personnel Director and the Directors of the ten 
graduate programs shall plan and administer the Governor's 
Public Management Fellowship Program and shall serve as the 
GPMFP Partnership Council. The Partnership Council may 
select an Advisory Group from the private business, nonprofit 
and local government sectors, the Cabinet and Council of State 
agencies, the Presidential Management Internship Program, and 
others who can contribute to the effective functioning of the 
program. 

Section 4. Funding Positions. 

Each Cabinet agency, plus the Office of State Budget and 
Management and the Office of State Personnel, shall identify 
resources to fund a GPMFP position. Council of State agencies 
are encouraged to fiind a position. 



WHEREAS, very few new graduates now seek employment 
in state government and, therefore, take their knowledge, skills 
and abilities to the federal government through the Presidential 
Management Internship Program, enter post-graduate internship 
programs offered by local governments, or begin careers in other 
related settings. 

NOW, THEREFORE, by the power vested in me as Governor 
by the laws and Constitution of North Carolina, IT IS 
ORDERED: 

Section 1. The Governor's Public Management Fellowship 
Program (GPMFP) Established. 

The Governor's Public Management Fellowship Program is 
hereby established. The Program shall be a partnership between 
the Office of State Personnel, Human Resources Development 
Division, and the graduate programs in the state offering Master 
of Public Administration degrees or similar degrees at the nine 
universities within the University of North Carolina System 
(Appalachian State University, East Carolina University, North 
Carolina Central University, North Carolina State University, 
University of North Carolina at Chapel Hill, University of North 
Carolina at Charlotte, University of North Carolina at 
Greensboro, University of North Carolina at Pembroke, and 
Western Carolina University), and Duke University. 

Section 2. Purpose. 

The Governor' s Public Management Fellowship Program shall 
serve four primary purposes: 

a. Provide an entry path into state government 
management and research positions for highly 
qualified recent MPA graduates; 

b. Establish a parmership between state government and 
the academic community to improve the quality of 



Section 5. 



Selection of Fellows. 



The recruitment and selection processes within the University 
and all participating agencies shall: 

a. Ensure the Fellows selected best meet the needs of the 
respective agency; 

b. Comply with all existing state and federal laws, 
policies and rules governing personnel actions; 

c. Ensure full and fair consideration of all Fellowship 
candidates without regard to race, religion, color, 
creed, national origin, sex, age, disability or political 
affiliation; and, 

d. Comply with good human resource management 
practices and with any procedural guidelines designed 
by the GPMFP Partnership Council. 

Section 6. Guidelines and Timeframes. 

The GPMFP Partnership Council shall develop operational 
guidelines and timeframes to ensiu^e that Fellows and the state 
receive maximum benefits from the program. The items to be 
included in the guidelines shall include, but not be limited to: 

a. Recruitment and selection processes at the University 
level, limited to three applicants per university; 

b. Recruitment and selection processes at the Agency 
level; 

c. Assessment Center procedures; 

d. Orientation program to state government and to the 
respective Agencies; 

e. Performance agreements for the Fellows, the 
Agencies, the Universities, the Office of State 
Personnel, and the GPMFP Partnership Council; 

f. Cross-fiinctional activities for the Fellows within state 
government, and seminars and workshops to enhance 
professional growth; 

g. Mentoring and other support roles for Agency and 



1901 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



EXECUTIVE ORDERS 



> 



University personnel to nurture and guide the 

Fellows; 

Performance measurement strategies of the Fellows, 

Partnership Council, Mentors, Agency and University 

personnel, and other key parties; 

Monitoring procedures for program implementation 

within the agencies; 

Evaluation of the development, implementation and 

impact, with special emphasis on the outcomes, of the 

GPMFP; 

Recommendations and strategies to ensure program 

effectiveness; and 

Procedures to report the impact of GPMFP to the 

Office of the Governor, the General Assembly, the 

Universities, and the general public. 



Section 8. 



Rescission of Executive Order Number 1 33 



Section 7. 



Duties of the Office of State Personnel. 



Executive Order Number 133 entitled "Governor's Public 
Management Internship Program" hereby is rescinded. The 
Governor's Public Management Fellowship Program created 
herein is the successor organization to the entity created under 
Executive Order Number 133. 

This Order is effective immediately. 

Done in the Capital City of Raleigh, North Carolina, this 13th 
day of April, 2000. 



s/sJames B. Hunt Jr. 
Governor 

ATTEST: 



The Office of State Personnel shall ensure the provisions of 
this Order are accomplished. The Office of State Personnel shall 
monitor the implementation of the program and compliance with 
this Order. 



s/sElaine F. Marshall 
Secretary of State 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1902 



CORRECTION 



Correction of Public Hearing Dates for 15A NCAC 2B .0230 (Activities Deemed to Comply with Wetland Standards) Previously 
Published in the May 1, 2000 Register. 

This notice serves as a correction to the public hearing dates for 15A NCAC 2B .0230 published in the May 1, 2000, NC Register 
(14:21). The hearing dates were inadvertently omitted in the publication. The comment period will remain open until June 8, 2000, 
as previously published. 



i 



TITLE 15A - DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 

CHAPTER 2 - ENVIRONMENTAL MANAGEMENT 

SUBCHAPTER 2B - SURFACE WATER AND WETLAND STANDARDS 

SECTION .0200 - CLASSIFICATIONS AND WATER QUALITY STANDARDS APPLICABLE TO SURFACE 

WATERS AND WETLAND OF NORTH CAROLINA 

The NC Department of Environment and Natural Resources on behalf of the NC Environmental Management Commission (EMC) 
will hold three public hearings on the proposed rule to deem certain activities compliant with wetland standards. This regulatory 
action by the EMC is intended to reinstate the 404(f)(1) exemptions as provided in the Clean Water Act. The hearings will be held 
as follows: 



DATE: Thursday, May 25, 2000 

TIME: 6:00 pm 

LOCATION: Archdale Building 

Ground Floor Hearing Room 
512 N. Salisbury Street 
Raleigh, NC 27626 



DATE: 


Tuesday, May 30, 2000 


TIME: 


6:00 pm 


LOCATION: 


Cameron Hall, UNC-W 




Room 105 




601 S. College Road 




Wilmington, NC 28403 


DATE: 


Thursday, June 1,2000 


TIME: 


6:00 pm 


LOCATION: 


Craven County Courthouse 




Superior Court Room, 2"'^ Floor 




302 Broad Street 




New Bern, NC 28560 



The Environmental Management Commission encourages all comments, and especially encourages comments on the scope of 
notification and whether it should be required for some or all activities which impact wetlands. You may attend the public hearings 
and make relevant verbal comments and/or submit written comments, data or other information by June 8, 2000. Written comments 
maybe submitted to: John Domey, DENR, Water Quality Lab, 1621 Mail Service Center, Raleigh, NC 27699-1621. You may 
contact Jeff Manning at (919) 733-5083, ext. 579 for questions about the hearings. 



I 



1903 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



IN ADDITION 



This Section contains public notices that are required to be published in the Register or have been approved by the Codifier 
of Rules for publication. 



STATE OF NORTH CAROLINA 

ENVIRONMENTAL MANAGEMENT COMMISSION 

1617 MAIL SERVICE CENTER 

RALEIGH, NORTH CAROLINA 27699- 1 6 1 7 

PUBLIC NOTICE OF INTENT TO ISSUE STATE GENERAL 
NPDES PERMITS 

Public notice of intent to issue or reissue expiring State National Pollutant Discharge Elimination System (NPDES) General Permit 
for Point Source Discharges of Stormwater associated with the following activities: 

NPDES General Permit No. NCGO 10000 for stormwater point source discharges associated with construction activities including 
clearing, grading and excavation activities resulting in the disturbance of land. 

On the basis of preliminary staff review and application of Article 2 1 of Chapter 1 43 of the General Statutes of North Carolina, Public 
Law 92-500 and other lawful standards and regulations, the North Carolina Environmental Management Commission proposes to 
reissue State NPDES General Permit for the discharges as described above. 

INFORMATION: Copies of the draft NPDES General Permit and Fact Sheet concerning the draft Permit are available by writing 
or calling: 

William C. Mills, PE 

Water Quality Section 

N.C. Division of Water Quality 

1617 Mail Service Center 

Raleigh, North Carolina 27699-1617 

Telephone (919) 733-5083 ext. 548 

Persons wishing to comment upon or object to the proposed determinations are invited to submit their comments in writing to the 
above address no later than June 15, 2000. All comments received prior to that date will be considered in the final determination 
regarding permit issuance. A public meeting may be held where the Director of the Division of Water Quality finds a significant 
degree of public interest in any proposed permit issuance. The draft Permits, Fact Sheets and other information are on file at the 
Division of Water Quality, 5 1 2 N. Salisbury Street, Room 925, Archdale Building, Raleigh, North Carolina. They may be inspected 
during normal office hours. Copies of the information of file are available upon request and payment of the costs of reproduction. 
All such comments and requests regarding these matters should make reference to the draft Permit Number, NCGO 10000. 

Date: April 24, 2000 



{signed) Bradley Bennett 
(for) Kerr T. Stevens, Director 
Division of Water Quality 



14:22 NORTH CAROLINA REGISTER May 15, 2000 1904 



RULE-MAKING PROCEEDINGS 



A Notice of Rule-making Proceedings is a statement of subject matter of the agency's proposed rule making. The agency must 
publish a notice of the subject matter for public comment at least 60 days prior to publishing the proposed text of a rule. 
Publication of a temporary rule serves as a Notice of Rule-making Proceedings and can be found in the Register under the 
section heading of Temporary Rules. A Rule-making Agenda published by an agency serves as Rule-making Proceedings and 
can be found in the Register under the section heading of Rule-making Agendas. Statutory reference: G.S. 150B-21.2. 



TITLE 10 - DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 

CHAPTER 14 - MENTAL HEALTH: GENERAL 

TV Totice of Rule-making Proceedings is hereby given by the 
1 V Commission on Mental Health, Developmental Disabilities 
and Substance Abuse Services in accordance with G.S. 
150B-2L2. The agency shall subsequently publish in the 
Register the text of the rule(s) it proposes to adopt as a result of 
this notice of rule-making proceedings and any comments 
received on this notice. 



Citation to Existing Rules Affected by this Rule-Making: 21 

NCAC 12 .0202, .0306, .0901 - Other rules may be proposed in 
the course of the rule-making process. 

Authority for the rule-maldng: G.S 87-1; 87-10; 87-15.6 

Statement of the Subject Matter: Notice is hereby given in 
accordance with G.S. 1508-21. 2 that the North Carolina 
Licensing Board for General Contractors (Board) will consider 
adopting rules, repealing rules, or amending rules addressing 
licensure classification, examination filing deadlines, and 
Homeowners Recovery Fund definitions. 



Citation to Existing Rules Affected by this Rule-Maldng: 10 

NCAC 14V - Other rules may be proposed in the course of the 
rule-making process. 

Authority for the rule-making: G.S. 122C-26; 143B-147 



Reason for Proposed Action: To amend licensure 
classifications to include the installation of septic systems; to 
repeal the current rule on examination filing deadlines; and to 
amend the definition of "owner or former owner" under the 
Homeowners Recovery Fund Rules. 



Statement of the Subject Matter: The Commission on Mental 
Health, Developmental Disabilities and Substance Abuse 
Services intends to adopt temporary rules to carry out the 
Governor's initiative on mental health in order to improve the 
health, safety and welfare of residents in private psychiatric 
hospitals and mental health group homes. The rules are used by 
the division of Facility Ser\nces, Department of Health and 
Human Services to regulate these facilities. 



Comment Procedures: Written comments may be submitted on 
the subject matter of the proposed rulemaking to Mark D. Selph 
at the Board's office. The Board's address is P.O. Box 1 7187, 
Raleigh, NC 27619. 4 

********************* 
CHAPTER 46 - BOARD OF PHARMACY 



Reason for Proposed Action: Governor Hunt's initiative 
requires the agency to implement measures to improve the 
health, safety and welfare of residents in psychiatric hospitals 
and mental health group homes. 

Comment Procedures: Written comments should be submitted 
to Jeff Horton, Section Chief, Mental Health Licensure and 
Certification Section, Division of Facility Services, 2718 Mail 
Service Center, Raleigh, NC 27699-2718. Telephone: 919-715- 
8076. 



TITLE 21 - OCCUPATIONAL LICENSING BOARDS 

CHAPTER 12 - GENERAL CONTRACTORS 

A Totice of Rule-making Proceedings is hereby given by the 
1 V North Carolina Licensing Board for General Contractors 
in accordance with G.S. 150B-21.2. The agency shall 
subsequently publish in the Register the text of the rule(s) it 
proposes to adopt as a result of this notice of rule-making 
proceedings and any comments received on this notice. 



Tl Totice of Rule-making Proceedings is hereby given by the 
1 V North Carolina Board of Pharmacy in accordance with 
G.S. 150B-21.2. The agency shall subsequently publish in the 
Register the text of the rule(s) it proposes to adopt as a result of 
this notice of rule-making proceedings and any comments 
received on this notice. 

Citation to Existing Rules Affected by this Rule-Making: 21 

NCAC 46 .1603-. 1604, .2502 - Other rules may be proposed in 
the course of the rule-making process. 

Authority for the rule-making: G.S. 90-6; 90-18; 90-18.4; 
90-85.3; 90-85.6; 90-85.21; 90-85.22; 90-85.25; 90-85.26A; 90- 
85.32; 90-85.41; 150B-41 

Statement of the Subject Matter: Notice is hereby given in 
accordance with G.S. 150B-21.2 that the North Carolina Board 
of Pharmacy (Board) will consider adopting rules, repealing 
rules, or amending rules addressing when permits are required 
and when permits may be transferred, settlement through 
informal procedures, requirements relating to persons picking 
up prescriptions, clinical pharmacist practitioners, peer review 
for impaired pharmacists, and responsibilities of the 



1905 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



RULE-MAKING PROCEEDINGS 



) 



pharmacist-manager when a pharmacy is to be closed 
permanently. 

Reason for Proposed Action: To clarify application of 
permitting rules to nonprofit corporations and to clarify 
meaning of term "transfer " as used in permitting rules; to set out 
informal procedures for settlement of cases; to set out 
requirements related to persons picking up prescriptions; to set 
out requirements for clinical pharmacist practitioners; to 



establish a program for peer review of impaired pharmacists; 
and to set out requirements for the pharmacist-manager when 
a pharmacy is to be closed permanently. 

Comment Procedures: Written comments may be submitted on 
the subject matter of the proposed rulemaking to David R. Work, 
Executive Director of the Board, at the Board's ojfice. The 
Board's address is PO Box 459, Carrboro, NC 27510-0459. 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1906 



PROPOSED RULES 



This Section contains the text of proposed rules. A t least 60 days prior to the publication of text, the agency published a Notice 
of Rule-making Proceedings. The agency must accept comments on the proposed rule for at least 30 days from the publication 
date, or until the public hearing, or a later date if specified in the notice by the agency. The required comment period is 60 
days for a rule that has a substantial economic impact of at least five million dollars ($5, 000, 000). Statutory' reference: G.S. 
150B-21.2. 



TITLE 10 - DEPARTMENT OF HEALTH 
AND HUMAN SERVICES 

Notice is hereby given in accordance with G.S. 150B-21.2 
that the Division of Facility Services intends to repeal rules 
cited as 10 NCAC 3R .3001-.3002, .3010, .3020, .3030, .3032, 
.3040, .3050-.3088, .610I-.6141. Notice of Rule-making 
Proceedings was published in the Register on March 15, 2000. 

Proposed Effective Date: April 1, 2001 

A Public Hearing will be conducted at 10 a.m. on June 14, 
2000 at the Council Building, Room 201, 701 Barbour Dr., 
Raleigh, NC 27603. 

Reason for Proposed Action: Each year the agency adopts 
new rules to incorporate the policies and need determinations 
set forth in the annual State Medical Facilities Plan. Therefore, 
rules for previous years become obsolete. 

Comment Procedures: Written comments may be submitted to 
Jackie Sheppard, Rule-making Coordinator, Division of Facility 
Services, 2710 Mail Service Center, Raleigh, NC 27699-2701, 
telephone (919) 733-2342. 



State 



Fiscal Impact 
Local Sub. 



None 
• 



CHAPTER 3 - FACILITY SERVICES 

SUBCHAPTER 3R - CERTIFICATE OF NEED 
REGULATIONS 

SECTION .3000 - PLANNING POLICY AND NEED 
DETERMINATIONS 

.3001 CERTIFICATE OF NEED REVIEW 
CATEGORIES 

Th e ag e ncy has established nine ca t egories of facili t i e s and 
sei " vic e s for cer t ifica t e of need review and shall det e rmine the 
app r opria te re vi e w^ ca t egoiy or ca te g o ries fo r all a pp li c a t i o n s 
submi tte d pursuant to 1 NCAC 3R .0304. Fo r proposals which 
includ e more t han one ca t ego r y, t h e agency may re quire t h e 
a pp lican t to subm it s epara t e applica t ions. If i t is no t p r ac t ical t o 
submi t s e para t e a pp lica t ions, t h e agency shall determin e in 
which ca t egoiy the applica t ion will be review e d. Tlie r e view of 
an appli c a t ion f or a c ert ifica t e of n ee d shall comm e nc e i n t he 
nex t r evi e w schedule a ft er the applica t ion has b ee n d e t erm in e d 
t o be complete. Tli e nine catego r i e s of f acili t i e s and se r vic e s 
are: 



(f) Ca t ego r y A. — Proposals fo r acu t e heal t h se r vice 
facili t ies, — except — those — p roposals — i ncluded — m 
Ca t ego r ies D t h r ough H, including bu t no t l i mited t o 

the — following — types — of pr ojec t s : r enova t ion, 

cons tr uc ti on, equipment, and acu t e care se r vices. 

(2) Ca t ego r y D. P r oposals fo r long-term nursing facili t y 
and new con t inuing care facili t ies applying for 
exemp t ion unde r 10 NCAC 3R .3050(b)(2). 

(3) Ca t ego r y C. P r o p osals fo r new p sychiat r ic facili t ies; 
p sychia t ric beds in exis t ing heal t h c a r e facili t ies; new 
in t ermediate ca r e facili t ies fo r t he mentally retarded 
(ICF/MR) and ICF/MR beds in exis t ing heal t h ca r e 
facili tie s ; — new — substance — abuse — and — chemical 
dependency facilities; substance abuse and c hemic al 
dep e ndency beds in exis t ing heal t h ca r e f acili t ies. 

(4) Ca t ego ry D. P r oposals fo r n ew dialysis s t a t io n s i n 
r es p onse to the "coun t y need" o r "facili t y need" 
me t hodologies; and r elocations of exis t ing dialysis 
s t a t ions to ano t h er county. 

(5) Catego r y E. P r o p osals fo r new o r ex p anded i np a t ien t 
re habili t a t ion facili t ies and inpa t ien t rehabilita t ion 
beds in o t he r heal t h ca r e f acili t ies; and new o r 
expanded ambula t ory su r gical facili t ies except t hos e 
pr oposals included in Ca t ego r y II. 

(6) Catego ry F. P r oposals fo r new ho m e heal t h agencies 
o r offices, new hospice home ca r e pr og r ams, n e w 
hospice i npa t i e n t beds, and new hospice r esiden t ial 
beds. 

(?) Ca t ego r }' G . P r oposals fo r conve rt ing hos p i t al beds to 
nu r sing ca r e unde r 1 NCAC 3R .3050(b)(1); and fo r 
new d ia lysis sta t ions as the resul t of "adjus t ed need 
determinations" for Dare and Carteret c o un t i e s. 

(8) Ca te go r y — H: P r o p osals — for — bone — mar r ow 

t ransplan t a t ion services, bum i nte nsive care s e i " vices, 
n eo na t al in t ensive car e services, o pe n heart surge i y 
se r vices, solid organ tra ns p lan t a t ion se r vic e s, ai r 
ambulanc e e quipmen t , ca r diac angioplas t y e quipm e nt, 
cardiac cathe t eriza t ion e quipm e n t , h e art-lung by p ass 
m achines, gamma kniv e s , — lithotripto r s, magn et ic 
r e s o nanc e — imaging — scamiers, — posi tr on — emission 
t omography scanners, and majo r medical e quipmen t 
as d e fined in G.S. 131E-176(14f), diagnos t ic cent e rs 
as d efi ned in G.S. 131E-176(7a), and oncol o gy 
tre a t m e n t cen ter s as defined in G.S. 131E-176(18a). 

(9) Ca t eg or y I. — P rop osals involving cos t o v err uns; 
e x p ansions of exis t ing c ontinuing ca re facili t ies which 
ar e licens e d by t he De p artment of Insuranc e a t the 
da t e t h e applica t ion is filed and are ap p lying under 
e xemp t ions from need det er mina t ions in 10 NCAC 

- 3R .3030; reloca t ions wi t hin t he same c o un t y of 
e xis t ing h e al t h servic e f acilities, b e ds o r dialysis 



1907 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



s t a t ions which do no t involve an incr e ase in t he 
number of heal t h se r vice facil it y beds o r sta t ions; 
re alloca t ion of beds o r s t ati o ns; Ca t egory A proposals 
submi tt ed by Academic Medical Cen t e r Teaching 
Hos p i t als d e sig n a t ed prior t o January 1, 1990; 



Authority G.S. niE-176(25); 131E-177(l):131E-183(b). 

.3002 APPLICABILITY OF RULES RELATED TO 

THE 1996 STATE MEDICAL FACILITIES 
PLAN 



pr o p osals submi tt ed p ursuan t t o 10 NCAC 3R Rul e s .3001, .301 , .3020, .3030, .3032, .3040, and .3050 o f 



■3050(a)(3) by Academic Medical Cen t e r Teaching 
Hospitalsdesigna t edp r io rt o Janua r y 1, 1990; and any 
o t he r p r oposal no t included in Ca te go r ies A t h r ough 



t his Se ct ion d o no t ap p ly to ce rt ifica t e of need applica t ions fo r 
which the sc h eduled re view p e r iod beg i ns af t e r Janua r y 1 , 1 997 . 

Authority G.S. 13 IE-! 76(25); 131E-177(1): 131E-183(b). 



.3010 MULTI-COUNTY GROUPINGS 

(a) Heal t h Se r vice Areas. The agency has assigned the cou nt ies of t he s t a t e to tli e fo llo wing heal t h se r vice areas fo r t he purpose 
of scheduling applications for ce rt ificates of need : 

HEALTH SERVICE AREAS (HSA) 



County 



Alexander 



Asne 

Avery 

Buncombe 

jJurKe 

Caldwell 

Ca t awba 

Che r okee 

tray 

Cl e veland 

G r aham 



I l e nderson 

Jackson 

McDowell 

Mac o n 

Madison 

Mi t ch e ll 

rolK 

Ru t h e rf o rd 



H 



m 



IV 



Vi 



County 



Coun t y 



County 



County 



County 



Alamance 

Caswell 

David s on 

Davie 

Forsyth 

Guilford 

Randolph 

Rockingha m 

MOKeS 

r' 

amiy 
Yadkin 



Cabamis 
Gas t on 

T,--, ,.3 all 

ireueii 
Lincoln 
Mecklenbu r g 
Rowan 

r'tn nil r 

Stanly 
Union 



Cha t ham 



Du r ham 



F r ankli n 



Anson 

1 i-i -1 -I , . 

uiaaen 

B r unswick 

Columbus 



HaiiieU 
iioKe 

Mon t gome r y 
Moore 



Pender 

Ri c hmond 

Robeson 

Sampson 

Sco t land 



Beaufort 

Bertie 

Camden 

Ca rt e r et 

Chowan 

Craven 

Dare 
Duphn 



New Hanove r Edgecombe 



/"■ -J. — 
oates 

Gr e ene 

Halifax 

H ert f o rd 

TT -1 - 

iiyfle 

Jones 

L e noii " 

Martin 

rsasn 

N ort hamp t on 

Onslow 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1908 



PROPOSED RULES 



dirr^:.-. 










awain 


Pamlico 




Transylvania 
Watauga 


rdscjuuLaiiK 
Perquimans 




WtHccs 


Pitt 




Yancey 


TyrreH 






Washington 






Wayne 












Wilson 






(b) Mental Health h'lanning Areas. 1 he agency has assigned the counties or the state to the to 


iUWlllg IVlCllUtl in 


;<mii riaiiiiiiig 


Areas for purposes of the State Medical Facilities Plan: 






A iTTM'F \ T T TT7 \ T TT IDT A XrVTTN.r/"' \ P T7 \ C! 
























Area Number 


V^UIlblllUClll V^UUllllCS 






i- 


. 






Jackson, Haywood, Macon, Cherokee, Clay, Graham, Swain 






2 

4 
5 
6 


Buncombe, Madison, Mitchell, Yancey 








Alleghany, Ashe, Avery, Watauga, Wilkes 








Transylvania, I lenderson 








Caldwell, uurKe, Alexander, Mcuoweii 








Kutneriord, roiK 








9 










Cleveland 














Catawba 








Mecklenburg 








Rowan, Iredell, Davie 








Stanly, Lauariiis, Union 








Suiiy, Yadkin 








rorsyth, stokes 








/^, ■! r,-, ,.,-] 








Ouiltord 








+8 










Alamance, Caswell 






Orange, Person, Chatham 








\9 
26 
2t 


Durham 








Vance, Granville, Franklin, Warren 








Davidson 






1909 




NORTH CAROLINA REGISTER Mc 


rj 75, 2000 


14:22 



I 



PROPOSED RULES 



> 



22 Moo re , Hoke, Ricli n iond, Mon t gome r y, A n so n 

23 Robeson, Bladen, Sco t land, Columbus 

24 Cumberland 

26 Johns t on 

if waKe 

28 Randol p h 

29 New Hanove r , B r unswick, Pende r 
36 Onslow 

3+ Wayne 

32 Wilson, G r eene 

33 Edgecombe, Nash 

-I A T T „ 1 ; f n -IT 

3^ naiiiax 

35 C r aven, Jones, Pamlico, Car t e r et 

36 fcenoir 
3? Pitt 

38 H e rt fo r d, Be r tie, Ga t es, No rt ham pton 

39 Beaufo rt , Washing t on, Ty rr ell, Hyde, Mar t in 

40 Pasquo t ank, Chowan, Perquimans, Camden, Da r e, Cu rr i t uck 
4t B u p lin, Sampso n 



(c) Mental Heal t h Plamiing Regions. The agency has assigned the coun t ies of the s t ate t o the following Men t al Heal t h Pla n n i ng 
Regions fo r pur p oses of t he S t a t e Medical Facili t ies Plan : 

MENTAL HEALTH PLANNING REGIONS (A re a Numbe r and Cons t i t u e nt C o u nties) 



Wes t ern (W) 



1 - Jackson, I laywood, Macon, Ch er ok ee , Clay, G r aham, Swain 

2 - Buncomb e , Madison, Mi t chell, Yanc e y 



3 - All e ghany, Ashe, Av e iy, Wa t auga, Wilkes 

4 - Transylvania, I lenderson 

5 - Caldwell, Bm - ke, Alexander, McDow e ll 

6 - Ru t he r fo r d, Polk 

7 - Clev e land 

8 - Gaston, Lincoln 

9 - Ca t awba 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1910 



PROPOSED RULES 



1 - Mecklenbu r g 

1 1 - Rowan, I r edell, Davi e 

1 2 - S t anly, Caba rr us, Un i on 



No rt h Cen tr al (NC) 



13 -Su rr y, Yadki n 

1 4 - Fo r syth, S t okes 

1 5 - R oc k i ng ham 
16 -Guilfo r d 

1 7 - Alamance, C a swel l 

1 8 - O r ange, Pe r son, Cha t ham 

1 9 - Durham 

20 - Vance, Granville, F r anklin, Wa rr e n 



Sou t h Cen tr al (SC) 



21 - Davidson 



22 - Moo r e, Hoke, Richmo n d, Montgome r y, Anso n 

23 - Robeson, Bladen, Scotland, Columbus 

24 - Cumbe r land 

25 - Lee, Ha r ne t t 

26 - Johns t on 

27 - Wake 

28 - Randol p h 



Eas te rn (E) 



29 - N e w Hanover, Dmnswick, Pender 

30 - Onsl o w 

3 1 - Wayne 

32 - Wilson, Gr ee n e 

33 - Edgecomb e , Nash 

34 - Halifax 

35 - Crav e n, Jon e s, Pamlic o , Cart e r et 

36 - Lenoir 
37 -Pi tt 

38 - H e rtford, Be rt ie, Ga te s, Northamp t on 

39 - B e aufo rt , Washing to n, Ty r ell, Hyde, Ma rtin 



i 



I 



i 



1911 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



40 - Pasquo t ank, Chowan, P e r quimans, Camden, Dare, Cu rr ituck 

41 - Du p lin, Sam p s on 



Authority G.S. 131 £-176(25); 131E-177(I); 131E-183(1). 

.3020 CERTIFICATE OF NEED REVIEW SCHEDULE 

The agency has es t ablished t he following schedule for r eview of ca t ego r ies and subcatego r ies of facilities and se r vices in 1996 . 
{\) Ca t ego r y D. Subca t ego r y Long-Term Nu r sing Facili t ies - 



County 



Review Da te 



Alexande r 
Hende r so n 
McDowell 
Ru t he r fo r d 
W at auga 




April 1, 1996 
A p ril 1, 1996 
Augus t 1, 199 6 
March 1, 199 6 
Mai - ch 1, 199 6 
Augus t 1, 1996 
Se pt embe r 1, 199 6 

May 1, 1996 

Decembe r 1, 199 6 

Se pt embe r 1, 199 6 

May 1, 1996 

Mai - ch 1, 1996 

May 1, 1996 

July 1, 199 6 



(f) Ca tegor y C. 

(a) Su bc a teg oiy Intermediate Care Facili t i e s fo r M ent ally Re t arded- 



M e n t al H e al t h Planning Ar e as (Cons tit u e n t C ount ies) 



2 (Buncombe, Madison, Mi t chell, Yanc e y) 

3 (Alleghany, Ash e , Av e ry, Wa t auga, Wilkes) 
5 (Caldw e ll, Bu rke, Al e xand er , '. 
21 (Davidson) 
10 (Meckl e nburg) 
12 (Stanl e y, Cabar r us, Union) 
1 8 (Orange, P e rso n, Chatham) 



CON Beginning 
R e view Da t e 



April 1,1996 
D e c e mb er 1, 199 6 
Dec e mber 1, 1996 
O ct ob er 1, 199 6 
April 1, 1996 
O cto b er 1, 1996 
Nov e mber 1, 1996 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1912 



PROPOSED RULES 



35 (C r aven, Jones, Pamlico, Ca rt e r e t ) 



July 1, 199 6 



(b) Su b ca t ego r y De t ox-Only Bed s. 



Men t al H e al t h Planning A r eas (Constituen t Coun t ies) 



CON Beginning 
Review Date 



I (Jackson, Hayw o od, Mac o n, Ch er okee, Clay, G r aham, Swa i n) 

4 (T r ansylvan i a, H e nde r son) 

5 (Caldwell, Bu r ke, Alexande r , McDowell ) 

6 (Ru t he r fo r d, Polk) 

9 (Catawba) 

I I (Rowan, I r edell, Davie) 

13 (Su rr y, Yadk i n) 

14 (Fo r syth, Stokes) 

15 (Rockingham) 

16 (Guilfo r d) 

17 (Alamance, Caswell) 

1 8 (O r ange, Pe r son, Chatham) 

20 (Vance, G r anville, F r anklin, Wa rr en) 

21 (Davidson) 

23 (Robeson, Bladen, Scotland, Columbus) 

26 (J o hns t on) 

27 (Wak e ) 

28 (Ra n dolph ) 



3 2 (Wilson, G ree n e ) 

33 (Edgecombe, Nas h) 

34 (Hali f a x) 

3 5 (Crav e n, Jones, Paml i co, Cart e r et ) 

36 (Len o ir) 

38 (He rt ford, Bertie, Ga te s, No rt hamp t on) 

39 (Beaufo rt , Washing t on, Ty rre ll, Hyde, Martin) 



Dece mb e r 1, 1996 
Decembe r 1, 1996 
Decembe r 1, 1996 
Decembe r 1, 1996 
r 1, lyyo 

11,1 yy\j 

December 1, 199 6 
June 1, 1996 
J u n e 1, 199 6 
J u ne 1, 1 996 
June 1, 199 6 
June 1, 1996 
JuiTe 1, 1996 
Ju ne 1, 199 6 



Novembe r 1 



Novembe r 1 



Novembe r 1 



November 1 



Novemb e r 1 



+996 



i996 



+996 



+9% 



+9% 



Nov e mb er 1 
May 1, 1996 
May 1, 1996 
May 1, 1996 
May 1, 1996 
May 1, 1996 
May 1, 1996 
May 1, 1996 
May 1, 1996 



+996 



1913 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



40 (Pasquo t ank, Chowan, Perquimans, Camden, Dare, Cur r ituck) 

41 (Duplin,! 



M a y 1, 199 6 
May 1, 199 6 



(3) Ca te gory D. Subca te go r y End S t age Renal Disease Dialysis Sta t ions. Dialysis s t a t ion review in r espons e t o the "coun t y 
need" o r " f acili t y need" me t hodologies shall be conduc t ed unde r t he p r ovisions of 10 NCAC 3R .3032. 

(4) Ca t egory F. Subca t egory Home Heal t h Agencies o r Offices. 



CON Beginning 



USA 



} 

H 

m 
w 

V 



Oc to b er 1, 199 6 

March 1, 1996 

June 1, 199 6 

Novembe r 1, 199 6 

March 1, 1996 



(5) Ca t ego r y G. Subcatego r y New Dialysis Stations as a result of "Adjus t ed Need Deten iii na t ions." 



County 



CON Beginning 
— Review Da t e 



Ca rt e r et 
Dare 



March 1, 1996 
Ma r ch 1, 1996 



(6) A pp lica t io n s fo r ce rt ificates of need shall be reviewed p ursuan t t o the following review schedule, unless ano t h er schedule 
has been specified in I t ems (1) t lirough (5) of t his Rule o r i t has been de t e r mined in 10 NCAC 3R .3030 t ha t t he r e is no 
need fo r the heal t h se r vice o r facility proposed by the a pp lican t . 



CON Beginning 
R e view Da t e 



MSA 
1, 11, 111 



Mo A 

IV, V, VI 



Ja nu a r y 1 

F e bmary '. 

March 1 

A p ril 1 



May 1 

Jun e 1 

Jrrt5r+ 

Augus t 1 

S e p t emb e r 1 

Oc t ob er 1 

Novemb e r 1 



A, B, F, G, 1 
B, H, I 

A, C, D, I,F 

BrBrf 

Ar^ri 



A. B, F. G. I 

B, C, II, I 

B 

At^v^ 

BrErf 

A, C, F, I 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1914 



PROPOSED RULES 



Decembe r 1 



C, D, II, I 



D, D, II, I 



Authority G.S. 131E-176(25); 131E-177(1): ISlE-l 83(b). 

.3030 FACILITY AND SERVICE NEED DETERMINATIONS 

Facili t y and se r vice need de t ermina t ions a r e shown in I t ems (1) - (8) of t his Rule. The need determina t ions shall be r evised 
con t inuously throughou t 199 6 pu r suan t t o 10 NCAC 3R .3040. — The p r ovisions of this pennanen t rule which differ from t he 
pr ovisions of any t empo r aiy rule are effec t ive beginning on t he effec t ive da t e of t he pe r manent rule . 

(4^ Ca t ego r y A. Acu t e Heal t h Service Facili t ies. It is determined t ha t the r e is no n ee d fo r addi t io n al acu t e care beds and no 

r eviews a r e sch e duled. 
(2) Ca t ego r y B. Long-Te rm Nu r sing Facility Beds. I t is de t emiined t ha t the counties lis t ed below need addi t ional Long-Term 
Nursing Facili t y Beds as s p ecified. The r e is no need fo r addi t ional Long-Term Nul ^ 5ing Facili t y Beds i n othe r coun t ies and 
no o t he r r eviews are scheduled. 



i 



County 



Numbe r of Nu r sing 
Beds Needed 



Hende r son 
McDowell 

Wa t auga 




Cumbe r land 



New Hanove r 

Pe nd er 

Onslow 

Pitt 

Ca rt e ret 



30 
96 
36 
46 
26 
96 
36 

1 ■•>n 
IzU 

66 
96 
96 
36 
46 
66 
66 



I 



(3) Ca te go r y C. 

-far) Psychia tric Fa c ili t y Beds. I t is de t erm i ned t hat t h ere is no nee d fo r addi t ional psychiatric beds and no r e views ar e 

s c hedul e d. 
fb) In ter m e dia te Car e Facili t y Beds fo r t he Men t ally Re t arded. I t is d et e r mined t ha t t h e m e nt al heal t h planning ar e as 

lis te d in t h e following t able n e ed addi t ional Intermedia te Care Facili t y beds for t he M e n t ally R etar d e d ("ICF/MR 

beds"). The tabl e iden t ifies t h e numbe r of new child and adul t ICFMR b e ds n e eded by e ach of t h e l i sted planning 

areas. These new ICF/MR b e ds shall o nl y b e us e d to conve rt exis t ing five-b e d ICF/MR b e ds in t o six-bed f acili t ies. 

There is no need for ne w ICF/MR fac il itie s o r fo r ICF/MR fac il it i e s with more than six beds in th e s e plann i ng ^ ■e as. 

Th e r e is no n e ed fo r any add ition al ICF/MR B e ds in any o t he r m ent al health planning areas and n o other reviews 

a re sch e dul e d, e xce pt as p r ovid e d in 10 NCAC 3R ■3640(a)(8). 



79/5 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



Men t al Heal t h Planning Area (Cons t ituen t Cou nties) 



cniiu 



AUUIt 



2 (Buncombe, Madison, Mi t chell, Yanc e y) 

5 (Allegha ny , Ashe, Ave i y, Wa t auga, Wilkes) 

5 (Caldw e ll, Bu r ke, Ale x ande r , McDowell) 

2\ (Davidson) 

\Q (Mecklenburg) 

\2 (S t anly, Caba rr us, Union) 

+8 (O r ange, Pe r son, Cha t h a m) 

35 (C r aven, Jones, Pamlico, Car t e r e t ) 





e 
e 

2 



i- 
e 



2 
\ 




i:c) Chemical De p endency T r ea t men t Beds. 

(t) I t is de t e r mined tha t t he r e is no need fo r any additional chemical dependency tr e at ment beds othe r than de t ox- 
only beds fo r adul t s. Tlie following t able lis t s the men t al health p lann ing a r eas t ha t need detox-only beds for 
adul t s and iden t i f ies th e numbe r of such beds needed in each p lanning a r ea. The r e is no need fo r addi t ional 
de t ox-only beds fo r adul t s in any o t he r mental heal t h planning area s: — No othe r r eviews for chemical 
de p e n dency tr ea t men t beds a r e schedul e d. 



1\ ir..-. 


A. 1 TT.._iii_ r»i : A ~ - 








Menial ncaiiu namiuig rticas 






(Constituent Counties) 




Planning 


uetox-uniy 








Regions 


Beds Needed 


\ 
4 
5 
6 
8 
-9 
i+ 
« 

i5 
^ 
¥f 
+8 
20 
2t 
23 






W 
W 
W 
W 
W 
W 
W 

Ne 
Ne 
Ne 
Ne 
Ne 
Ne 
Ne 
se 
se 


+ 
W 
20 

8 
« 

2 

i0 
+0 

6 

2 
W 

5 


(Jackson, Haywood, Macon, 


Cherokee, Clay, Graham, Swain) 


(Transylvania, Henderson) 


- ft 1 ^^,-.^^^a11^ 


^riiifi, ui-f,!-..! ^>nll-^ 








(Gaston, Lincoln) 




(Catawba) 




(Rowan, Iredell, Davie) 




(auri"y, Yadkin) 




(I'orsytn, stOKCs) 




(Rockingham) 




^Uuiiiora) 




(Alamance, Caswell) 




(Orange, Person, Chatham) 




(Vance, Granville, Franklin, 


Warrcnj 


(Davidson) 


r^ 1--, 1 \ 


(Robeson, LJIaaen, Scotland, ^^uiuiiiuut»; 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1916 



PROPOSED RULES 













Menidi iicdiui riciiiiiiiig rtjcus 


Mental iieaitn 


Number ot 


(Constituent Counties) 


Planning 
Regions 


Detox-Only 


ueos iNeeueQ 


24 

25 






S€ 

se 


« 
W 


(Cumberland) 


(Lee, ilamett) 




26 

27 
28 
3+ 
52 
35 
34 
35 


(Johnston) 




se 
se 
se 

E 
E 
E 
E 
E 


1 

w 

4 
W 
W 

6 
W 


(Wake) 




(^Kanaoipnj 




(^ w ayne; 




(Wilson, Greene) 




(LiugecomDe, niasnj 




(iiaiitax^ 




(Craven, Jones, Pamlico 


uarteretj 


36 
38 
39 
46 
4+ 


(Lenoir) 




E 
E 
E 
E 

E 


4 
5 


(HeitTora, oenie, oates, 


Northampton) 


(Beaufort, Washington, lyiicii, n^uc, ivicuimj 


(Pasquotank, Chowan, Perquimans, Camden, Dare, Currituck) 


(Duplin, Sampson) 





(ri) "Detox-only beds fo r adults" a r e chemical dependency t r eatment beds t ha t a r e occu p ied exclusively by 
p e r sons who a r e 1 8 yea r s of age o r olde r who a r e ex p e r iencing physiological wi t hdrawal f r om t lie effec t s of 

(iii) The county o r counties which comprise each men t al health planning a r ea are lis t ed in 1 NC AC 3R .30 1 0(b). 
(tv) De t ox-only beds fo r adul t s may be develo p ed outside of the me n t al heal t h p lanni n g area in which t hey a r e 
needed if : 

(A) The beds a r e developed in a con t iguous mental heal t h plan n ing a r ea t ha t is with i n t he same men t al 
h e al t h planning region, as defined by 10 NCAC 3R ■3010(c); and 

fB) Th e program board in t he planning area in wh ic h t he b e ds a re nee d e d an d t he p r ogi ' am board in t h e 
pl an ning a re a i n which t h e b e ds a re to be dev e lo p ed e ach adop t a r e solu t ion sup p o rt ing t h e 
develo p men t of t he b e ds in t h e con t iguous planning area. 

(4) Ca te gory D. Kidn e y Disease Tr e a t men t Cen t ers and Dialysis S t a t ions Ne e d for sta t ions, e xcep t as o t h e rwise provid e d in 
I te m (7) of t his Rule, is de t ermined by 10 NCAC 3R .3032. 

(5) Ca t egoiy E. 

fa) Inpatien t Rehabili t a t ion Facili t y B e ds. 

(t) Excep t as p r ovid e d in Sub-i te m (5)(a)(ii) of t his Rule, i t is determined t ha t t her e is no need f or any addi t ional 

inpa t ien t rehabili t a t ion facili t y beds and no revi e ws a r e sch e duled. 
irt) I t is de t ermined t ha t t h e re is a n ee d for a d e mons tr a t i o n pro ject con sis t ing o f on e inpa t i e n t r e habili t a t ion uni t 
contain i ng no mo re tha n 1 i npa t i ent re habili t a t ion facili t y b e ds in Wilson Coun t y. Tlie p urpose of tlie p r oj e c t 
shall be to d e mons tr a te whe t h er such a uni t is viable in terms of cos t , u t iliza t ion, and good m e dical p r ac t ice; 
wh et h e r such a uni t inc r eas e s t he u t iliza t i o n of inpa t ien t rehabili t a t ion s er vices by pa t ien t s who c o uld b e n e fi t 
fr om such se r vic e s; and whe t he r such a uni t imp r oves pa t i e n t ou t comes. An ap p lica t ion fo r a c ert ifica t e of 
ne e d f or t h e dem o ns tr a t ion projec t shall : 

{A) C o nform t o th e r equirements of t he mles in 10 NCAC 3R .2800, wi t h t h e e xc e p t i o n of 10 NCAC 3R 
.2803(b), 

(B) D e m o ns t ra te tha t t he project's rehabilita t ion seiTices b e ds shall b e develop e d sol e ly by t h e co nversion 
of e xis t ing licensed heal t h s e i " vic e facili t y b e ds; 



1917 



NORTH CAROLINA REGISTER 



May IS, 2000 



14:22 



PROPOSED RULES 



f€) Demons t ra t e tha t t he p rojec t ' s r ehabilita t ion se r vices beds shall be l i cen s ed, ce rt ified, and placed in t o 

ope r a t ion wi t hin 12 mo n t hs afte r t he certifica te of ne e d is issued; 
(D) Contain the a p plican t 's comnii lii i e iil t o submi t t o t he Ce rt ifica t e of Need Sec t ion three - annual repo rt s 
on tlie ope r a t ion of the demonst r a t ion projec t . The annual r e p o rt shall be pos t marked on o r befo r e t he 
thir t ietli day following t h e a n ni ve rsary of t he licensing of t he demons tr a t ion p r ojec t and shall con t ain 
t he follow i ng info m ia t ion : 

(i) The de m ons tr a t ion projec t 's ave r age pe r diem p a t ien t charges fo r t h e pas t year; 
(H) T h e demons tr a t ion projec t 's ave r age pe r discha r ge pa t ien t charges fo r t he p as t yea r ; 
(Hi) An accoun t ing of t he ope r a t ional cos t s and p atient r evenues of the demons tr a t ion pr oject fo r t he 

(FV) The t o t al numbe r of pa t ien t s se r ved by t he demons tr ation p r ojec t du ri ng t he pas t yea r; 
(V) A lis t of t he demons tr a t ion p r ojec t 's pa t ien t payo r sources fo r t he pas t yea r; 
(VI) A desc r i p tion of t h e demons tr ation project's p a t ient o r igin by coun t y fo r t he pas t yea r ; a nd 
(VH) An assessmen t of p a t ien t ou t comes in t he demonst r ation p r ojec t du r ing t h e pas t yea r. 
The t arge t ave r age annual occu p ancy r a te fo r t he demons tr a t ion projec t is the average of the ave r age annual occupancy r a t es 
re p o rt ed by o r fo r all exis t ing in p atien t r ehabili t ation facili t ies or uni t s in t heir 199 6 li ce nse r enewal a p plica t ions. Tlie 
de m ons tr a t ion pr ojec t shall mee t o r exceed this targe t average annual occupancy r a t e du r ing a t leas t one p e r iod of 12 
c onse c u t ive calenda r mon t hs wi t hin five years af t e r the demonst r a t ion projec t i s licensed. If it does not, t he demons tr a t ion 
pr ojec t shall be t ermina t ed au t o m atically and the b e ds shall revert to t heir prio r heal t h se r vice facili t y bed ca t egory. 
Addi t ionally, t he rehabili t a t ion facility beds shall au t omatically r eve rt to t he ir p r io r heal t h se r vice facil it y bed ca t ego r y if 
t he a p plican t voluntarily t ermina t es t he demonst r a t ion pr ojec t. 

fb) Ambulatory Surge r y Ope r a t ing Rooms. I t is dete r mined t ha t the r e is no need fo r addi t ional ambula t o r y surge r y 
ope r a t ing r ooms and no r eviews a r e scheduled, excep t t ha t a Ru r al P rim a r y Care Hos p ital designated by the N.C. 
Office of Rural Health Se r vices p ursuan t t o Sec t ion 1820(f) of t he Social Security Ac t may apply for a certificate 
of need t o conve rt e xis t ing o per a t ing rooms for use as a fr ees t anding ambulato r y surgical facili t y . 
(6) Catego r y F. 

(a) New Ho m e Heal t h Agencies o r Offices. I t is d e termined that t h e Heal t h Se r vice A r eas iden t ifi e d i n 10 NCAC 3R 
.3010 and lis t ed below need addi ti onal Home Heal t h Agencies o r Offices as sp ec ified. 



HSA 




Number of Agencies 




r^cir XT J J 


or Uttices Needed 


i 


i- 


H 


^^ 


Hi 


■t 


iV 


t 


V 


+ 


Vi 


i- 



(b) New H o s p ice Hom e Car e Programs. It is d e t e rmined tha t t here is no n e ed f or addi t ional Hospic e Home Car e 
Programs and no re views ar e schedul e d. 

(c) N e w Hospice Inpa t ien t Beds. 

(t) Singl e Coun t ies. Single coun t ies with a projec t ed defici t of six or mo r e beds are alloca t ed beds based on t he 
p r oj e c t ed defici t . It is d et ermined t ha t there is no ne e d for addi t ional single coun t y Hos p ice Inpa t i e n t Bed 
facil it ies and no revi e ws are sch e duled. 

(n) C o n t iguous Coun t ies. I t is de t ermined t ha t any combina t ion of t wo or mo re con t igu o us c o un t i e s tak e n f r om 
t h e following lis t shall hav e a need for n e w hospic e inpa t ien t beds if t h e combin e d b e d d e fici t for t he g l^o u ping 
of c o n t iguous coun t ies t o t als six o r mo re b e ds. Each c o un t y in a g r ou p ing of con t iguous coun t ies mus t have 
a defici t of at leas t one and no mo re t han fiv e beds. Tlie ne e d fo r t he g r ouping of c on t iguo u s c o un t ies shall 
be t h e sum of t he defici t s in * h e individual coun t ies. F or pu r pos e s o f thi s R ule , "con t iguous coun t ies" shall 
mean a grouping of No rt h Carol i na coun t ies which includ e s t h e c o u nt y in which t h e new hospice inpa t ien t 
facili t y is propos e d t o b e l oc a te d and any on e o r mo re of t h e No rt h Ca r ol i na co un t ies which have a common 
bo r de r wi t h t ha t c o un t y, e ven i f t he b or d er s only t ou c h at on e poin t . No coun t y may be included in a g ro uping 
of contiguous coun t ies unless i t is lis te d in t he following t abl e: 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1918 



PROPOSED RULES 



County 



Alexande r 
Asfie 
I laywood 



Mi t chell 

rolK 

Rutherford 



Transylvania 



Watauga 



Ala m ance 
Davidson 



Rockingham 



St okes 
Suiiy 



Caba rr us 



Gaston 
ireueii 



Lincol n 
Rowan 

C^ A.- ■- 1- - 

srtanty 
tJniort 



Chatha m 



Durham 
Joluis t on 



fcee 

waKe 

Bladen 



Dmnswick 



Columbus 
Ilam ett 
Moore 
Pend e r 



Richmond 

Robeson 

Sco t land 



Hos p i c e Inpatien t 
Bed Deficit 



i- 
i 

4 

4 
2 
4 

i 
i 
i 
2 

5 
4 

2 
i- 

^^ 



7979 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



» 



Coun ty 



B-, -J r\ n f; -1 : 4- 
eu ueticit 




Her t ford 
Nash 



No r tham pt on 



Onslow 

Pitt 

Wilson 






m 



Ca t ego r y G. Kidney Disease Trea t men t Facihties and Dialysis S t a t ions. I t is determined t ha t Cartere t and Da r e Coun t ies 
have a need fo r additional dialysis sta t ions t ha t is no t re vealed by the s t andard need me t hodol o gy i n 10 NCAC 3R .3032 
because of condi t io n s unique to t hese two coun t ies. The dialysis station need i n Car t e r e t and Da r e Coun t ies is shown in 
t he following t able : 



County Numbe r of New 
Dial y si s S t ations Needed 



Ca rt e r e t 



uare 



6 

4 



m 



C a t ego r y H. 

(a) Sol i d o r gan tr a n splant se r vices shall be develo p ed and offe r ed only by academic medical cen t e r t e aching hos p i t als 

as desig nat ed i n 10 NCAC 3R .305Q(a)(3). I t is de t e r mined tha t the r e is no need fo r new solid o r gan tr ans p lan t 

se r vices and no r eviews a r e scheduled. 



fb) Done Mar r ow T r ansplan t ation Services. I t is de t e r mined t ha t allogeneic bone ma rr ow tr ans p lantation se r vices 
b e d e v e lo p ed and offered only by academic m e dical ce n te r te aching hospi t als as d es igna te d in 10 



shaH 



.30 5 0(a)(3). — I t is d ete rmined t ha t t h er e is no n e ed fo r add it io n al allo g en e ic or autol o gous bon e ma rr ow 
t ransplan t a t ion se r vices and no r eviews a re s c h e dul e d. 
(c) G a mma Kniv e s. It is determined tha t t he r e is no n ee d for gam m a kni ve s and no re vi e ws a re s che dul ed. 

Posi tr on Emission Tomography Scanne r s. I t is determin e d t ha t t here is no n e ed fo r addi t ional p o si tr on emission 
t omography scann er s fo r p urposes other t han r esearch and no re views ar e sc h e d ul ed. 



(d) 



Authority G.S. 131E-] 76(25); 131E-177(1): 131E-1 83(b). 

.3032 DIALYSIS STATION NEED DETERMINATION 

(a) The Medical Facili t ies Plamiing S e c t ion (MTPS) shall determine need for new dialysis s t a t ions t w o t im e s each cal e ndar y e ar, 
and shall make a report of such determina t ions availabl e t o all who r equ e s t i t . — This r epo rt shall b e called t he N o rth Cai 'o lina 
S e miaiinual Dialysis R ep ort (SDR). Da t a t o be us e d for such determina t ions, and t hei r sourc e s, a r e as follows: 

(T^ Numbe r s of dialysis p a t i e n t s, by t y p e, coun t y and facili t y, f r om t h e Sou t h e astern Kidn e y Coun c il, Inc. (SEKC) ajid t he Mid- 



(2) 
(4) 



A t lan t ic Renal Coal iti on, Inc. as of D e c e mb er 31,1995 fo r t h e Ma r ch SDR and a s o f June 3 0, 1 9 96 for t h e S e p t ember SDR. 
Certifica t e of ne e d decisi o ns, decisions appeal e d, ap pe als s ett led, a n d awards, fr om the Ce rt ifica t e of Ne e d Sec t ion, DFS. 
Facili t i e s certified for participa t ion i n M e d ic ar e , fr om th e C ert i fi ca t ion Sec t ion, DFS. 
N e ed d e terminations for which certific ate o f n e ed d e c i sions hav e no t b e en made, from MFPS records. 



Need d e terminations in this r e port shall be an in te gral part of t h e S t a te M e dical Facili t i e s Plan, as provid e d in G.S. 131E-183 . 
(b) N e ed for n e w d i alysis s t a t i o ns shall be de t ennined as foll o ws : 
(F) C o un t y Need 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1920 



PROPOSED RULES 



m 



(A) The ave r age annual r a t e (% ) of change in t o t al numbe r of dialysis p a t ien t s r esiden t in each coun t y fr om t he end of 
1991 to t he end of 199 5 is mul t i p lied by the coun t y's 199 5 yea r end t otal number of p a t ien t s in t he SDR, and the 
p roduc t is added t o each coun t y's mo st r ecen t t o t al nu mb e r of p a t ien t s repor t ed in t he SDR. The sum is t he coun t y's 
projec t ed t o t al 1996 pa t ien t s. 

(B) The pe r cen t of each coun t y's t o t al pa t ien t s who we r e home dialysis pa t ien t s a t the end of 1995 i s mul t i p lied by t he 
coun t y's p r ojected t o t al 1 996 pa t ients, and the produc t is sub tr acted f r om tlie county's pr ojec t ed t o t al 1996 patien t s. 
The r emainde r is t he county's p rojected 199 6 i n-cen t e r dialysis pa t i e nts . 

(G) The pr ojec t ed nu m be r of each coun t y's 1 99 6 in-cen t e r patients is divided by 3.2. The quotient is the projection of 
the county's 1996 in-center dialysis stations. 

(D) F r om each county's p r ojected numbe r of 1996 in-cen t e r sta t ions is subt r ac t ed t he coun t y's nu mb e r of sta t ions 
ce rt ified fo r Medicare, CON-a pp roved and awai t ing cer t ifica t ion, awa it ing r esolu t ion of CON a p peals, and the 
numbe r re pr esented by need de t ermina t ions i n p r evious S t ate Medical Facili t ies Plans o r Semiannual Dialysis 
Re p o rt s fo r which CON decisions have not been made. The r e m ainde r is t he coun t y's 1 996 station need p r ojec t ion. 



(E) If a coun t y's 1 996 s t ation need proj ec t ion is 1 o r g r ea t e r a nd the SDR shows that u t ilization of each dialysis facility 
in the coun t y is 80% o r g r ea t e r , t he 1996 county s t ation need determina t ion is t he same as the 199 6 s t a t ion nee d 
pr ojec t ion. If a county's 1996 st a t ion need p r ojection is less t han 10, o r the u t iliza t ion of any dialysis facility in the 
county is less t han 80%, th e county's 1996 s t a t ion need de t e r mina t ion is z e r o . 

Facility Need 

A dialysis facili t y loca t ed in a coun t y for which t he r esul t of the Coun t y N ee d methodology is zero in t h e r efe r ence 

Semiannual Dialysis Re p o rt (SDR) is de t e r mined to need addi t ional s t a t ions t o t he ex t en t t ha t : 

(A) I t s u t iliza t ion, r e p o rt ed in t he SDR, is g r eate r t han 3.2 patien t s pe r station. 

Such need, calcula t ed as follows, is repor t ed in an ap p lica t ion for a cer t ifica t e of need : 



(B) 



(T) 



Th e f acili t y's numbe r of in-cente r dialysis p a t i e n t s r epo r ted in t he pr evious SDR (SDR ^ ) is subtracted from 
t he nu mb e r of in-cente r dialysis p at i en ts r epo rt ed in the cur r ent SDR (SDR ^ ). Th e diff e r e nc e is multipli e d 
b y 2 t o p r ojec t the net in-cente r change for 1 year. Divide the projected ne t i n-cen t e r change for t he year by 
t h e numbe r of in- c ente r p a t ien t s fr om SDR ,, to determine the projected annual growth rate. 
The quotie nt from Subpa rt (b)(2)(B)(i) of this Rule is divided by 12. 

The quo t ient f r om Subpa rt (b)(2)(D)(ii) of this Rule is mul t ipl i ed by tl ie number of mon t hs f r om t he mos t 
r e ce n t month r e p o rt ed in t he cu rr e n t SDR un t il t he end of c alenda r 199 6 . 

The p r oduc t f r om Sub p a rt (b)(2)(B)(iii) of this Rule is mul t i p lied by the numbe r of t he facili t y's in-cen t e r 
patien t s r epo r ted in the cu rr en t SDR and t ha t p r oduct is added t o s uch r e p orted number of in-cente r patien t s. 
The sum fr om Subpart (b)(2)(D)(iv) of t his Rule is divided by 3.2, and fr om the quoti e nt is sub tr ac t ed t he 
facility's cur r en t numbe r of ce rt i fi ed and p ending stations as r eco r ded in the cur r ent SDR. TTie r emaind er is 
t h e numbe r of s t ations needed. 

Th e f acility m ay a p ply t o ex p and t o mee t the need es t ablished in Sub p a rt (b)(2)(B)(v) of this Rule, up to a maximum 

of 10 sta t ion s, 
fe) The schedule fo r p ublica t ion of the No rt h Ca r olina Semiannual Dialysis Repo rt (SDR) and fo r receipt of certifica t e of need 
applica t ions based on each issu e of t his r epo rt in 1996 shall be as follows : 



(ir) 

(rrt^ 

(TV) 
(V) 



(e) 



Da t e for 



Period Ending 



SCKC R e po rt 



Publi c a t io n 
of SDR 



R e c e i pt o f 

CON Applica t ions 



Beginning 



Revi e w Da t es 



Dec. 31, 1995 
June 30. 1996 



Feb. 28, 1996 



Aug. 31, 1996 



Maich20, 1996 
S ep t. 20, 1996 



May 16, 1996 
N o v. 15, 1996 



Jun e 1, 199 6 
D e c. 1, 1996 



(d) An a pp lica t ion for a certifica t e of need pursuan t to t his Rule shall be accep te d only if i t demons tr a te s a n ee d by u t ilizing one 
of t h e me t hods of determining need ou t lined in t his Rul e . 

(e) An ap p lica t ion for a ne w E i id Stage R e n a l D ise as e facili t y, o t h er t han applica t io n s for di alysis sta t ions t o b e d e v e lop e d in Dar e 
and Ca rt e ret Coun t ies pui - suan t t o 10 NCAC 3R .3030(7), shall no t b e approv e d unl e ss i t documen t s the n ee d for a t l e as t 10 s t a t ions 
b ased on u t iliza t ion o f 3.2 pa t i e n t s per s t a t ion p e r we e k. 

(f) Hom e pa tient s s h all no t b e includ e d in detennina t ion of n e ed for n e w sta t i o ns. 

Authority G.S. 131E-176(25): 131E-177(1); 131E-I83(b). 



.3040 REALLOCATIONS AND ADJUSTMENTS 

(a) REALLOCATIONS. 



(i) Realloca t ions shall be made only t o t he e x t en t t ha t 1 
NCAC 3R .3030 determin e s tha t a n ee d e xis t s af te r 



1921 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



t h e i nv e n t o r y is revised and t he n e ed de t eniiiiia t ion is 
r ecalcula t ed. 
(2) Be ds o r se r vices which a i' e r ealloca t ed once in 
acco r dance wi t h t his Rule shall no t be r ealloca t ed 



(3) 



; Sec t ion 



a g a in. Ra t he r , t he Medical I ' acili t ies l -' lanning ; 
shall make any necessary changes in t he nex t 
published amendmen t to 10 NCAC 3R .3030. 
Dialysis s t a t ions t lia t are wi t hdrawn, r elinquished, no t 
applied for o r decer t ified shall no t be r ealloca t ed. 



Ins t ead, 



' rede t ermina t ion of n e ed sha H 



, any necessary i 
be made in the nex t scheduled p ublica t ion of the 
S emiannual Dialysis Repo rt . 

(4) A p peals — of Certifica t e — o f Need — Decis i ons — on 
A p plica t ions. — Need dete r mina t ions of beds o r 
se r vices fo r which t he CON Sec t ion decision has b e en 
appealed shall no t be r ealloca t ed un t il t he appeal is 

(A) Appeals Resolved P r io r t o Se pt embe r 1 7 : If a n 
appeal is resolved in the calenda r yea r p r io r t o 
Septembe r 1 7, t he beds or se r vices shall no t be 
r ealloca t ed by t he QON Sec t ion; r athe r t he 
Med ic al Fa c ili t ies Planning Sec t ion shall m ake 
th e necessa r y chang e s in t he nex t amendmen t 
t o 10 NCAC 3R .3030. 

(B) Ap p eals Resolved On O r A f ter Sep t ember 17 : 
If t he a pp eal is r esolv e d on o r a ft e r September 
1 7 in t he calenda r yea r , t he beds o r se r vices, 
exce pt fo r dialysis s t ations, shall be made 
available fo r a r eview p e r iod t o be dete r mined 
by t he CON Sec t ion, bu t beginning no ea r lie r 
t han 60 days f r om t he da t e t hat t he a p peal is 
r esolved. — Notice shall be mailed by t he 
Ce rt ificate of Need Sec t ion to all pe r sons on 
t he mailing list fo r t he Sta te M e dical Facili t ies 
Plan, no less than 45 days prior t o t h e du e dat e 
for r eceip t of new a pp lica t ions. 

(5) Withdrawals and Relinquishments. Exce pt fo r 

dialysis s t a t ions, a A need de t e r mina t ion fo r which a 
c ert ifica t e o f n ee d is issu e d, bu t is subsequen t ly 
wi t hdrawn or relinquish e d, is available for a review 
p er iod t o be de te rmined by t h e C ert ifica te of Need 
S e c t i o n, bu t beginning no e a r l ier t han 60 days fr om: 
(A) t he las t da te on wh ic h an a pp eal of t he no ti c e 

of in te n t t o wi t hdi ^ aw t h e ce rt ifi c a te co uld b e 
filed if no app e al i s f il ed, 
t he da t e on which an a p p e al of t h e wi t hdrawal 
is finally r e so l v e d a gain s t th e hol der , o r 
t he da t e t hat t he Certifica te of Need S e c t ion 
re ceives from t he holde r of t he certi fica te o f 
n ee d no t ice t ha t t he ce rt i f i c a t e has b e en 
volun t arily relinquished. 
No t ic e o f t h e scheduled r evi e w peri o d for t h e 
re allocated s er vices or beds shall be mail e d by t he 






Certifica te of N ee d Sec t ion t o all 



-the 



(6) 



t i t ica te o t iN ee d sec t ion t o all persons on 
mailing lis t fo r th e S t a te M e dical Facili t ies Plan, no 
less t han 45 days prior to th e du e da t e for submi tt al of 
t he n e w a pp lica t ions. 
N e ed D et erminati o ns for whi c h No Ap p lica ti ons are 



(A) Se r vices or Beds with Scheduled Revi e w in t he 
Calendar Year on o r Befo r e Oc t obe r 1 : Need 
de t e r mina t ions, o r p o rt ions of such need, fo r 
s er vices o r beds in this ca t egory include long- 
t e n n nui ' sing ca r e beds, hom e heal t h agencies 
o r offices, — hospice home ca r e pr og r ams, 
hospice — inpatien t — beds, — anti — beds — in 
inte n nedia t e care f acili t ies fo r t he m e nt all y 
ret a r ded (ICF/MR) wi t h t he exc ept ion of 
ICF/MR need dete rm ina t ions wi t h a sche d ule d 
re view tha t begi n s afte r Oc t obe r 1. — The 
Ce rt ifica t e of Need Sec t ion shall no t r ealloca t e 
t h e se r vices o r beds in t his ca t ego r y fo r which 
no a p plica t io n s we r e r eceived, becau s e t he 
Medical Facili t ies Pla nnin g S ec t i o n will h a ve 
sufficient t ime t o m ake any necessary changes 
in t he dete rm ina t ions of n eed fo r t hese s er v i ces 
o r beds in t he next annual amendmen t t o 10 
NCAC 3R .3030. 

^) Se r vices o r Beds with Scheduled Review in t he 

Calenda r Year Afte r Oc t obe r — h Need 

determinations for se r vices or beds in t his 
ca t ego r y includ e acu te ca re beds, psychia tr ic 
beds, subs t ance abus e b e ds, ICF/MR beds, 
bone ma rr ow tr ansplanta t ion s er vi ce s, bum 
i n t ensive ca r e se r vices, neonatal in t ensive ca re 
se r vices, o p en hea rt su r ge r y se r vic e s, solid 
o r gan tra ns p lanta ti on se r vices, ai r ambulance 
equ ip men t , cardiac angio p lastic equi p men t , 
cardiac ca t hete r iza t ion equi p men t , heart-lung 
by p ass machines, gamma knives, li t ho tr ip t o r s, 
magne t ic resonance imaging scanne r s, posi tr on 
emission t omog r aphy scanne r s, majo r medical 
e quipmen t as defined in G.S. 131E-17 6( 14f), 
diagnostic cen t e r s and oncology tr ea h nen t 
cente r s f o r which r e v iew commences a ft e r 
Oc t obe r 1. — A need de t e r mination in t his - 
categoiy for which no applica t ion has b ee n 
re c e iv e d by t he last du e da t e for submi tt al o f 
appli cat ions shall be av a ilabl e to be applied fo r 
in t he s e c o nd Ca t ego r y I re vi e w pe r iod in t h e 
n e x t cal e ndar y e ar for th e appli c able HSA. 
Notice of the sch e dul e d r e view pe r iod for t h e 
re alloca t ed beds o r se r vic e s shall b e mailed by 
t h e C ert ifica te o f Ne e d S e c t ion t o all persons 
on t h e mailing lis t for t he S t a te Medical 
Facili t ies Plan, no less t han 45 days p r ior t o t he 
due da te fo r submi t tal of n e w applica t ions. 
(7) Need — De t erminations — not — Award e d — becaus e 

A pp lica t ion Disapprov e d. 

(t^ Disap pr oval in t h e Ca le ndar Yea r p r io r t o 

Sep t ember — Vh. N ee d d ete rmina t ions — or 

p o rtions of such need for which ap p lica t ions 
were — sub m i tte d — but — disapp r oved — by — the 
C e rtifica t e of N e ed S e c t ion b e fo r e S ept emb e r 
17, shall no t b e r ealloca t ed by t he Certifica t e of 
Ne e d Sec ti on. Ins t ead t he Medical Facili t i e s 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1922 



PROPOSED RULES 



(B) 



Planning S e c t ion shall make t he necessary 
c hanges in t he nex t a l^ mua ^ amendmen t t o 10 
NCAC 3R .3030 if no a p peal is filed. 
Disapp r oval in t he Cal e ndar Yea r on o r Afte r 

Sep t embe r — Vf-. Need — determina t ions — or 

por t ions of such n eed fo r which applica t ions 

were — submi tt ed — btrt — disa ppr oved — by — the 

C ert i f ica t e of Need Sec t ion on o r afte r 

Se pt embe r 17, shall be r eallocated by the 

Ce rt i f icate of Need Se ct ion exce p t for dialysis 

s t a t ions. — A need in t his ca t ego r y shall be 

available for a r eview^ pe r iod t o be dete r mined 

by t he — Ce rt ifica t e — of Need — Sec t io n — btrt 

b egi n ning no ea r lie r than 95 days f r om the da t e 

t he applica t ion was disa p p r oved, if no appeal is 

filed. No t ice of the scheduled r eview p eriod 

f or t he r e a ll o ca t ion shall be mailed by the 

Ce rt i fic ate of Need Se ct ion to all pe r sons on 

t he mailing lis t fo r the S t a t e Medical Facili tie s 

Plan no less than 80 days p ri or t o t he due da te 

fo r submi tt al of the ne w applications. 

(8) Realloca t ion of Delicensed and Dece it i F ied ICF/MR 

Beds. If an ICF/MR facility's license and Medicai d 

ce r tifica t io n a r e r elinquished o r r evoked, t he ICF/MR 

beds in t he facility shall be r ealloca te d by th e 

Departmen t of Human Resources, Division of Facility 

Se r vices, Medical Facilities Planning Section p ursuan t 

t o the p r ovisions of t he following sub- p a rt s. — The 

r eallocated beds shall only be used t o conve rt five-be d 

ICF/MR facili t ies in t o six-bed facili t ies. 

(A) If t he numbe r of five-bed ICF/MR facili t ies i n 
t he mental heal t h planning r egion in which the 
b eds a r e loca t ed equals o r exceeds t he numbe r 
of r eallocated — beds, — the — beds — shaH — be 
re alloca t ed solely wi t hin t he planning r egion 
a ft e r considering the r ecommendation of the 
Regional Team of Developmental Disabili t ie s 
Services Direc t ors. 

(B) If the numbe r of five-bed ICF/MR facili t i e s in 
t h e m ent al h e al t h p l a n ning region in which t h e 
beds are loca te d is l e ss t han t he number of 
realloca t ed — beds, — the — M e dical — Facili t i e s 
Planning Section shall r e alloca te t he excess 
beds — to — other — plan n i ng — regions — after 
consid e ring — the — r e comme n da t io n — of — the 
D e velopmental Disabili t i e s Sec t ion in t h e 
Division of Mental Health, Developm e n t al 
Disabili t ies, and Substanc e Abus e S e i " vices. 
Th e M e di c al Facili t ies Planning Sec t ion shall 
t h e n alloca te t he beds among t h e planning 
ar e as witliin t hos e p lanning re gions after 
considering — the — recommenda t ion — of — the 
app r opria t e Regional Teams of D e v e lopmental 
Disabilities S e rvices Dir e c t ors. 

(€) The — Departmen t — of — Human — R e sourc e s, 
Division of Fa c ili t y S er vic e s, C e rtificate of 
N ee d — S ect ion — shall — sch e dule — re views — of 
applica t ions — for — these — beds — pursuan t — to 



Subparag r aph (a)( 5 ) of t his R ul e. 
(b) CHANGES IN NEED DETERMINATIONS . 
{V) The ne e d de t e r mina t ions in 10 NCAC 3R .3030 and 
.3032 shall be r ev i sed con t inuously tliroughou t t h e 
calenda r yea r t o r eflec t all changes in the inventories 
oft 

(A) the heal t h se r vices listed a t G.S. 131E-17 6 

(B) h e al t h se r vice f acili t ies; 

(C) h e al t h se r vice facili t y beds; 

(D) dialysis sta t ions; 

(E) t he equipmen t listed a t G.S. 131E-176 (16)fl; 
and 

(F) mobile medical equipmen t , 

as those changes are r e p orted to t he Medical Facilities 
Planning Section. I loweve r , need determina t ions in 
10 NCAC 3R .3030 o r .3032 shall no t be r educed if 
the relevan t i nven t o r y is adju ste d upwa r d 30 days o r 
less prio r to the Firs t day of t he a p plicable r evie w 
period: 

(2) Inven t o r i e s shall b e upda t ed t o reflect: 

(j^ decertifica t ion of home health ag en cies or 
offices, intermediate care facili t ies fo r the 
m e n t ally r etarded, and dialysis s t a t ions; 

(B) delice n su r e of health s er v i ce fac il it ies and 
health se r vice facil it y beds ; 

(C) demolition, dest r uction, o r decommissioning of 
equipmen t as H st ed a t G.S. 131E-176(16) fl 
and s; 

(D) elimina t ion or r eduction of a health se rvi ce as 
listed at G.S. 131E-1 7 6 (16) f; 

(E) p sychia tr ic beds licensed pursuan t to G.S. 
13 lE-1 84(c); 

(F) ce rt ificates of need awa r ded, r elinquished, o r 
wi t hdrawn, subsequen t t o the prepara t ion of 
the i nven t ories in the Sta t e Medical Facil it ies 

(G) co rr ec t io n s of e rr o r s in the inven t o r y as 
re ported t o t h e M e dical Facili t i e s Planning 
S e c t ion. 

(3) Any p e rson who is in t e re s t ed in applying for a new 
ins t i t u ti onal — health — service — for — which — a — need 
d et ermina t ion is mad e in 10 NCAC 3R .3030 o r .3032 
may ob t ain information abou t upda te d inv e n t o r ies and 
n e ed de t ermina t ions from the Medical Facili t i e s 
Planning S e c t i o n. 

Authority G.S. 13 lE-1 76(25); 131E-177(1); 13 IE- 183(b). 

.3050 POLICIES 

ta) ACUTE CARE FACILITIES AND SERVICES 
(f) Use of L icen s e d Bed Capaci t y Data for Planning 
Purpos e s. — For planning pur p os e s t h e number of 
l i censed b e ds shall b e d ele nnined by the Division of 
Facili t y S er vic e s in accordanc e witii s t andards found 
in 10 NCAC 3C - S ect ion .6200 and ■3102(d). 
(2) U t iliza t ion of Acu te Care H o spital B e d Capaci t y. 
C o nv e rsion of undeiii t iliz e d hospi t al s p ace to o the r 



1923 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



needed p ur p oses shall be conside r ed an al t erna t ive t o 
new cons tr uc t ion. Hospitals falling b e low u t iliza t ion 
t argets i n 10 NCAC 3R ■3050(a)(4) a r e assumed t o 

have unde r u t ilized space. Any such — hospi t al 

proposing new cons tr uc t ion mus t clearly demons tr a t e 
t ha t i t is mo r e cos t -effec t ive t han conve r sion of 
exis t ing s p ace. 

(3) Exemp t ion — from — Plan — P r ovisions — for — Ce rt ai n 
Acade m ic Medical Cente r Teaching Hos p i t al P r ojec t s. 
P r ojec t s fo r which ce rt ifica t es of need a r e sough t by 
academic medical cen t er t eaching hos p i t als m ay 
quali f y fo r exemp t ion from p r ovisions of 1 NCAC 
3R .3030. 

(A) The S t a t e Medical Facili t ies Planning Sec t ion 
shall designa t e as an Academic Medical Cen t e r 
Teaching — Hospital — any — facility — whose 
a pp lica t ion fo r su c h de s ignation demonst r a t es 
t he following cha r ac t e r is t ics of t he ho sp ital : 

(t) Se r ves as a p r imary teaching si t e fo r a 
school of medicine and a t least one 
other — health — professional — school, 
pr ov i ding unde r g r adua te , g i^ aduate and 
pos t g r aduate educa t ion. 

(fi) Houses ex t ensive basic medi c al sci e nc e 
and clinical r esea r ch pr og r ams, p a t i e n t s 
and equipmen t . 

(fii) Se r ves the trea t men t needs of p a t ien t s 
from a b r oad geog r aphic a r ea t lirough 
mul t iple medical special t ies. 

(B) Exemp t ion fr om t he p r ovisions of 10 NCAC 
3R .3030 shall be g r anted t o projects submi tt ed 
by — Academic — Medical — Center — Teaching 
Hos p i t als designa t ed p r io r t o Janua r y 1, 199 
which — p r ojects — comply with — one — of t he 
following condi t ions : 

(i) Necessaiy t o complemen t a s p ec i f i ed 
and approved expansion of the numbe r 
or t y p es ofstuden t s, r esidents o r faculty, 
as c e r t ifi e d by t he head of t h e r el e van t 
associa te d p ro fessional school; o r 

(ii) N e c e ssaiy t o acc o mmoda t e pa t i e n t s, 
s t aff or equipmen t for a specified and 
app r ov e d expansion of research 
ac t ivi t ies, as certifi e d by t he head of t he 
e n t i t y sponso r ing t he r e search; or 

(ttt) N e cessaiy t o accommoda t e chang e s in 
re quirements of special t y e duca t ion 
acc r edi t ing bodies, as evidenced by 
copies of d o cumen t s issued by such 
bodies. 

(4) R e conv er si o n to Acu te Car e . Facili t i e s redis t ribu t ing 
beds f r om acu t e cai e b e d capaci t y t o r e habilita t ion or 



NCAC 3R .3030 wi t hou t re g ar d t o t he acu t e care bed 
n eed shown in t he Rule. Tliese t a r ge t occupancies 
are: 



shall ob t ain a c ert ifica t e of need t o 



psycnia t nc use shall ob t ain a 

conv e rt t his capaci t y back t o acu t e ca re . A pp lica t ion 



for 



; of beds c onve rt ed 



such re conv e rsion t o acu t e care ( 
t o psychia tr y o r r e habili t a t ion shall b e e valu at ed 
agains t t h e hospi t al's u t iliza tio n i n re la t ion t o t a r ge t 
o ccu p ancies used in de t ermining need sh o wn in 10 



Licensed Bed Ca p aci t y 

i--49 

56-99 

100-199 

200 - 699 

700- I 



Pe r cen t Occupancy 
65 

75 
80 

81.5 



(5) Mul t i-Special t y Ambula t o r y Su r ge r y. Af t e r a pp lying 
othe r r equi r ed c r ite r ia, wh e n su p e ri o r ity among t wo or 
more — compe ti ng — ambulato r y — surgical — facili t y 
ce rt ifica t e of n e ed a p plica t ions is unce r tain, favo r able 
conside r a t ion shall be given to — "mul t i-special t y 
pr og r ams" ove r "s p ecialty p r og r ams" in areas where 
need is demons tr ated in 1 NCAC 3R .3030. A mul t i- 
s p ecialty ambula t o r y su r gical p r og r am means a 
p r og r am providing services in a t leas t t liree of t he 
following areas; gynecology, o t ola r yng o logy, plas t ic 
surge r y, gen er al su r ge r y, o p h t halmology, o rt ho p edics, 
urology, and o r al su r ge r y. An ambulato r y surgical 
facility shall pr ovide a t leas t two designa t ed o p e r ating 
ro oms with gene r al anes t hesia capabili t ies, and at 
l eas t one designa t ed r ecove r y r oom. 

(6) Dis tr ibu t ion of In p a ti en t Rehab i l it a t ion Beds. Afte r 
a pp lying othe r r equired c r i t e r ia, when superiority 
amo n g two o r mo r e competing r ehabilita t ion facili t y 
ce rt ifica t e of need applica t ions is uncertain, favo r able 
conside r a t i o n shall be given to proposals tha t m ak e 
rehabilita t ion se r vices m or e a c cessible t o p ati e n t s and 
t h e i r fa m ilies o r a r e pa rt of a comprehensive r egional 
r ehabili t ation netwo r k. 

(b) LONG-TERM CARE FACILITIES AND SERVICES. 
(L) P r ov i sion o f Hospital-Based Long-Term Nu r sing 

Ca r e. A certifica t e of need may be issued t o a 

hospi t al which is licensed unde r G.S. 13 IE, Art i cle 5, 
and which m e e t s t h e condi t ions se t forth below and in 
1 NCAC 3R . 1 1 00, t o conv ert up t o t en b e ds f r om i t s 
licensed acu te care bed capaci t y fo r us e as hospi t al- 
based long- t erm nursing car e beds wi t hou t rega r d t o 
d et e r mina t ions of need in 10 NCAC 3R .3030 if t h e 
hospi t al: 
(t^ is loca t ed in a coun t y which was designa t ed as 

n o n-me t ropoli t an by t he U. S. Office of 

Managemen t and Budge t on January 1 , 1 996; 

and 
(B) on Januaiy 1, 1996, had a licens e d acu te c a re 

b e d capaci t y of 1 50 beds or l e ss. 
Th e ce rt ifica t e of n ee d shall re main in fo r c e as long as 
the D e pailnient of Human R e s o urc e s de ter mines t ha t 
t h e hospi t al is mee t ing the condi t ions outlined in t his 
Kuie. 

"I l o spi t al-based long-term nu r sing ca re " is d e fined as 
long-term nursing car e pr ovid e d to a pa t i e n t who has 
b ee n di re c t ly dischai ' ged f rom an acu t e cai ' e b e d and 
c a nno t be i mmedia te ly plac e d in a lice n sed nu r sing 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1924 



PROPOSED RULES 



facili t y because of t he unavailabili t y of a bed 
a p p r op r ia t e fo r t he i ndividual's needs. Determina t ion 
of t he pa t ien t 's need fo r hos p i t al-based long-term 
nu r sing care shall be made i n acco r dance wi t h c r iteria 
and p r ocedu r es fo r d eter mining need fo r long- t e r m 
nu r sing ca r e adminis t e r ed by the Division of Medical 

Assistance — and the — Medicare — p r og r am. B eds 

developed unde r this Rule are in t ended t o p r ovide 
placemen t for r esiden t s only when p lacemen t in o t he r 



long-ten n i 



ng-ten n care beds is unavailable in t he geog r aphic 
a r ea. Hos p i t als which develop beds unde r t his Rule 
shall discha r ge pa t ien t s t o othe r nursing facili t ies wi t h 
available beds in t h e geog r aphic a r ea as soon as 



lissible unde r 



p ossibl e whe r e app r o pr iate and pe r missi b le 
a pp licabl e law. Necessaiy documen t a t ion including 
copies of physician refe rr al forms (FL 2) on all 
p a t ien t s in hospital-based nu r sing uni t s sh all be made 
available fo r review u p on r eques t by duly au t horized 
repr esen t a t ives of licensed nursing facili t ies. 
Fo r p u rp oses of t his Rule, beds in hos p i t al-based 
long-term nursing cai ' e shall be ce rt ified as a "dis ti nc t 
p a rt " as de f ined by t he Heal t h Care Financing 
Administ r a t ion. — Beds in a "dis t inct pa rt " shall be 
converted f r om the exis t ing licensed bed ca p acity of 
t he hos p i t al and shall no t be r econverted t o any othe r 
ca t ego r y o r ty p e of bed withou t a ce rt ifica t e of need. 
An — applica t ion — for — a — ce rt ificate — of — need — for 
r econve rt ing beds t o acute care shall be evaluated 
agains t the hos p ital's se r vice needs utilizing t arge t 
occupancies shown in 10 NCAC 3R .3050(a)(4), 
wi t hou t r ega r d t o t he acu t e ca i'e bed need shown in 1 
NCAC 3R .3030. A certifica t e of need issued for a 
hospi t al-based long-term nursing ca r e uni t shall 
r e m ain in fo r ce as long as t he following condi t ions are 
mett 

(t) the — beds — shaH — be — certified — for 

p a rt ici p a t io n — rn — the — Title — XVIII 

(Medica r e) and Ti t le XIX (Medicaid) 

P r og r ams; 

irt) t h e hospital discharg e s r e sid e n t s t o o t h er 

nui ' sing facili t ies in t he geogra p hic ar e a 

wi t h available b e ds wh en such discharg e 

is app r opriate and per m issible und er 

applicabl e law; 

(iri) p a t i ents — admi tte d — shall — have — been 

acu te ly ill inpa t ien t s of an a c u te hospi t al 

o r i t s sa te lli te s imm e dia te ly p rece ding 

placemen t in th e uni t . 

Tli e g r an t ing of beds for hospital-based long-term 

nursing ca re shall no t al l ow a h o s p ital t o conv e rt 

additional b e ds w i t hou t firs t ob t a i n i ng a ce rt ifica te of 

need. Wli ere any hospi t al, or t h e pa r ent c o r p ora t ion 

or entit y o f such hospi t al, any subsidiary co r po r a t ion 

o r e n t i t y of such hospital, or any corpo r a t ion o r e n t i t y 

re la t ed to o r affilia te d wi t h such hospital by common 

owne r ship, control o r managem e n t : 

(i) applies — for — and — r ec e ives — a 
c ert ificat e of need for long-tenn 



ca r e bed need dete mii na t io n s i n 
10 NCAC 3R .3030, 01 

fH) cur r en t ly has nursing home beds 
lice n sed as a p a rt of t he hos p i t al 
unde r G.S. 13 IE, Article 5; o r 

(HI) cur r en t ly o p e r a t es long- t erm cai ' e 
b eds u nde r t he Fede r al Swing 
Bed P r og r am (P.L. 96-499), 
such hospi t al shall no t be eligible 
t o apply fo r a ce rt ifica t e of need 
fo r hospital-based long- t e r m care 
nu rs i n g beds unde r this Rule. 
Hospitals designa t ed by t he S t a t e 
of No rt h — Ca r ol ina — as — Rural 
Primary Ca r e Hos p itals pursuan t 
t o s ec t ion 1 820(f) of t he Soc i al 
Security Ac t , as amended, which 
have no t been alloca t ed long- 
ter m caie beds unde r p r ovisions 
of G.S. 131E-175 t hrough 131E- 
190 may apply to develo p beds 
u n de r this Rule. H o weve r , such 
ho sp itals shall n ot develop long- 
t erm care beds bo t h to mee t 
needs deteiiiiined in 10 NCAC 
3R .3030 and t his Rule. Beds 
ce rt ified as a "distinc t p a rt " unde r 
t his Rul e shall be counted in the 
inven t o r y of existing long-term 
care — beds — and — used — in — the 
c alcula t ion of unmet l o iig-leim 
ca r e bed need fo r t he gene r al 
popula t ion of a plann i ng a r ea. 
Ap p lications fo r ce rt ificates of 
need pu r suan t t o this Rule shall 
be accep t ed only fo r t he March 1 
r eview cycle. — Beds awa r ded 
unde r t his Rule shall be deduc t ed 
from need d e termina t ions fo r t h e 
c o un t y as sh o wn in 1 NCAC 3 R 
.3030. Con t inua t ion of this Rul e 
shall be re vi e wed and approved 
by t h e Departmen t of Human 
Resourc e s aimually. C e rtifica t es 
of n ee d issu e d und e r policies 
analogous to t his Rule in S t a te 
M e dical — Facili t ies — Plans 
subs e qu e nt to t he 1986 Plan are 
au t oma t ically — am e nded — to 
conform with the p r ovisions o f 
t his Rule a t the e ffec t iv e da te o f 
t his Rule. — Tli e De p aitment of 
Human Resources shall moni tor 
t ills program and ensur e tha t 
pa t ients aff e c te d by this Rule ar e 
recei v i ng appropriate s e rvices, 
and t ha t condi t ions und e r which 
the — c ertifica t e — of need — was 



1925 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



g r an t ed are b e ing me t. 
(2) Plan Exem p tion fo r Con t inu i ng Ca r e Facili t ies. 

^A) Q ualified con t inuing care facil it ies m ay 

include fr om t he ou t se t , o r add o r conve rt bed 
capaci t y for long-term nui ' sing ca r e wi t hou t 
r egard t o t lie bed need shown in 10 NCAC 3R 

.3030. To qualify fo r such e xemp t ion, 

applica t ions for certifica t es of need shall show 
tha t t he p r o p osed — long- t erm nu i' s i ng bed 
ca p aci t y : 

(t) Will only be develo p ed concur r en t l y 
wi t h, o r subsequen t t o cons tr uc t ion on 
t he same si t e, of facili t ies fo r bo t h of th e 
following levels of ca r e : 

(i) independen t living 

accommoda t ions 

(apai t inen t s and homes) 

fo r p e r sons who are able 

to — carry — out — normal 

ac t ivi t ies of daily liv in g 

wi t hou t assis t ance; such 

accommoda t ions may be 

in the form of apartments, 

fla t s, houses, cot t ages, and 

r ooms wi t hin a suita b l e 

s tr uctu r e; 

(Il)domicilia r y ca r e (home fo r 

the aged) beds fo r use by 

p e r sons who, because of age 

or disabili t y r equ ir e some 

p e r sonal se r vices, incidental 

medical se r vices, and r oom 

and boa r d t o assure t heir 



(it) Will be used exclusively t o mee t th e 
needs of pe r so n s wi t h whom t he facility 
has — continuing — care — cont r ac t s — (in 
compliance w i th t h e De p a r tment o f 
Insui ' anc e s t a t u tes and r ul e s) who ha ve 
liv e d in a n o n-nu r s i ng u n i t of t h e 
con t inuing c a re f acili t y for a p er i o d of a t 
leas t 30 days. — Excep t ions shall b e 
allowed wh e n on e spous e o r sibling is 
admi tte d t o t h e nurs i ng uni t a t t h e time 
t he ot her spouse o r sibling mov e s in t o a 
n o n-nursing uni t , o r wh e n t he m e dical 
condi t ion r e qui r ing nu r sing car e was n ot 
kn o wn t o e xis t or be immin e n t wh e n t h e 
individual — b e came — a — party — to — the 

con t inuing ca re c o n tr ac t . Financial 

considera t ion — paid — by — per sons 
p urchasing a con t inuing care c o n tr act 
shall be e qui t able b et w een per so ns 
e n ter ing a t t he "ind e pend e n t living" and 
"d o m i ciliary" l e vels of car e . 

(iri) R e fl ect s t h e numb e r of beds requi re d t o 
me et th e cu rre n t or p r oj e c t ed n ee ds of 
re siden t s with whom t he facili t y has an 



ag r eemen t t o provide con ti nu i ng ca r e, 

after — making — use — of — aH — feasibl e 

al t e r na t ives t o ins t itu t ional nursing care. 

(iv) Will no t be ce rt ified fo r p a rt ici p a t ion in 

t he Medicaid pr og r am. 

(B) One half of the long- t erm nu r sing bed s 

d e velo p ed unde r t his exemp t ion shall be 

e xcluded fr om the inven t o r y used t o pr ojec t 

bed — need — for — the — general — popula t ion. 

Ce rt ifica t es of need issued unde r policies 

anal o gous t o t his Rule in Sta t e Medical 

Facili t ies Plans subsequen t t o t he 1985 SMFP 

a r e au t oma t ically a m ended t o confo r m wi t h t he 

pr ovisions of this Rule a t the effec t ive date o f 

t his Rule. Ce rt ifica t es of need awa r ded 

pursuan t to th e pro v i sions of Cha pt e r 920, 
Session Laws 1983, o r Chap t e r 445, Sessio n 
Laws 1 985 shall no t be amended. 

(3) Develo p men t of Home Heal t h Se r v ic es. — A^sr 
a pp lying o t he r r equired c r ite ri a, when su p e r io r i t y 
among two o r mo r e compe t ing home health agency o r 
office certifica t e of need applications is uncertain, 
favo r able considera t ion shall be given to p r oposals 
whidr 

(A) provide — an expanded — scope — of services 
(including nursing, p hysical t h er apy, speech 
t he r a p y, and home heal t h aide se r vice) ; 

(B) pr ovide the wides t r ange of ti^ ea t men t s wi t hin 

(€) have t he ability t o offe r services on a seve n 
days pe r week basis as r equired t o mee t p a t ien t 
needs; and 

(B) provide specialized services t o address t he 
needs of a t l e as t one of t he following groups : 
nursing home pa t ients in tr ansi t ion t o t he 
c ommunity, HIV/AIDS pa t ients, Alzheime r 's 
D i sease/senile — demen t ia — p atien t s, — or 
unde r se r ved p atien t s in r u r al counties. 

(4) N ee d D et ermina t ion Upon Termina t i o n of Coun t y's 
Sole H ome Heal t h Agency. — Wlien a home heal t h 
agency's boa r d of di r ec t ors, o r in t he case of a public 
ag e ncy, t he r e sponsible public body, v ot es t o 
discon t inu e t he ag e ncy's provision of hom e health 
s er vic e s; and 

{A) t lie ag e ncy is t h e only hom e h e al t h agency wi t h 
an office physically loca te d in t he coun t y; and 

(B) t he ag e ncy is no t being law f ully tr ansferred t o 
ano t h e r en t i t y; 



n ee d fo r a n e w h o me heal t h , 



or offic e in t h e 



ag e ncy i 

coun t y is t he re by e s t abl i sh e d t h r o u gh t his Rule. 
Following re c e ip t o f w r i tt en no t ic e of such decision 
from t he h o me h e al t h ag e ncy's chief adminis tr a t iv e 
officer, t h e C ert ifica te of Need Sec t i o n shall giv e 
p ublic no ti c e of t he n ee d fo r one hom e h e al t h ag e ncy 
o r o ffice i n t he c o un t y, and t he da t es of t h e re vi e w of 
applica t i o ns t o m e et t h e need. Such no t ice shall be 
given no less t han 45 days prior t o t he fi nal da t e fo r 
r eceip t of applica t ions in a news p a p er s e i ' ving t he 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1926 



PROPOSED RULES 



coun t y and t o home heal t h agen ci es located outside 
t he county r e p o rti ng se r ving county pa t ien t s in t he 
mos t r ecen t lic e nsu r e applica t ions on File. 

(5) Availability of Dialysis Care. After ap p lying othe r 
r equ ire d cri t e r ia, when su per io r i t y among two or mo r e 
com p e t ing dialysis facili t y o r s t a t ion cer t ifica t e of 
n e ed applications is u n ce rt ain, f avo r able conside r a t io n 
shall be given t o ap p lican t s pr o p osing t o pr ov i de o r 
a n" ange fo r: 

(A) h o me tr aining and backup fo r pa t ients suitable 
fo r home dialysis i n t he ESRD dialysis facili ty 
o r in a facili t y t hat is a r easo n able distance 
fr om t he p a t ient's r esidence ; 

fB) ESRD dialysis service availabili t y a t t imes t ha t 
do not in t e r fe r e w it h ESRD pa t ien t s' work 
schedules; 

(€) services in rural, r emo t e a r eas. 

(6) De t e r mination of Need for Addi t ional Nursing Beds 
in Single P r ovide r Counties. When a l o ng- t e i i n care 
facility wi t h fewe r than 80 n ursin g c a r e beds is the 
o nly nu r sing care facility wi t hin a county, it may 
a p ply for a ce rt ificate of need fo r addi t ional nu r s i ng 
beds in orde r to b r ing the minimum nu m be r of beds 
a vailable wi t hin t he county to no mo r e than 80 
nu r sing beds wi t hou t r ega r d t o t he nu r s i ng bed need 
de t ermination fo r t ha t coun t y as l ist ed in 1 NCAC 
3 R .3030. 

fc) MENTAL HEALTH FACILITIES AND SERVICES. 



W 



App r o p riate P r ovision of Care. Hos p italiza t ion shal l 
be conside r ed t h e most res tr ic t ive form of therapeu t ic 
i n t e r vention o r tr ea tm en t and shall be used only when 



this level of 24-hour ( 



(2) 



lis level ot /4-nour care and supervision is r equired 
to mee t the p a t ient's health c a r e needs. 
Linkages Between Trea t men t Sett i ngs. — Anyone 
applying fo r a ce rt ificate of need fo r psychia t ric, 
I CF/MR o r subs t ance abuse beds shall docume nt tha t 
t he affec t ed a r ea men t al health, develo p men t al 
disabilities and subs t ance abuse au t hori t ies have been 
con t ac te d and invi t ed t o commen t on t he p r oposed 
s er vices, rela t iv e to t heir e ndo r s e men t of t he projec t 
and i nvolv e m e n t in t h e d e v e lopmen t of a clien t 
admission and discharge ag r eem e n t . 
(9) T r ansfe r of Beds from Sta t e Psychia t ric Hospi t als t o 
C o mmuni t y Facili tie s. B e ds i n t he S t ate psychia t ric 
h o spi t als used to se r ve sh ort - t e r m psychia tr ic pa t i e nts 
may b e r eloca t ed t o communi t y facili t i e s. Howev er , 
b e fo re b e ds are t ransfer r ed ou t of t he S t a t e psychia tr ic 
hospi t als, appropriate sei - vic e s and programs shall be 



availabl e in t he 



xji 



communi t y. Hie — p r o cess 

tiaiisfei r i ng beds shall no t re sul t in a net ch a ng e in tli e 
numb e r of psychia t ric b e ds availabl e , bu t r a t her in t he 
l o ca t ion o f b e ds coun te d in t h e exis t ing inven t o r y. 
S t a te hospi t al beds which are r e loca t ed t o c o mmuni t y 
f a c il it i e s shall be closed wi t hin nine t y days following 



th e da te t he t ransferred beds b e e 



rans t erred bees b e come opera t ional in 
t h e communi t y. — Facili t ies proposing t o opera t e 
transferred b e ds shall commi t t o sei " v e th e t ype of 
sh o rt-term patients normally plac e d a t t he Sta te 



(4) 



(5) 



m 



p sychia t ric hos pit als. To hel p ensu r e t ha t r eloca t ed 
be ds will se r ve t hose pe r sons w h o would have been 
se r ved by t he S tat e psychia t ric hospitals, a p r oposal t o 
tr ansfe r beds fr om a Sta t e hospital shall includ e a 
wri tt en memo r andum of agreemen t be t ween t he area 
MH/DD/SAS prog r am se r ving t he coun t y whe r e the 
beds are t o be loca t ed, the Secre t a r y of Human 
Resources, and the pe r son submi tt ing t h e pr o p osal. 
In p a t ien t Psychia t ric Se r vices fo r Child r en a n d 

Adolescen t s. In p a t ien t psychia t ric tr eatmen t of 

children and adolescen t s which is more ex t ensive than 



stabtir 



j iliza t ion shall occur in uni t s which are separa t e 
and dis t inc t from bo t h adul t p sychia t ric u nit s and 
g ene r al — p edia tr ic — units: — In — o r de r t o — maximize 
e fficiency and ensure t he availabili t y of a continuum 
of care, psych i a t ric b e ds fo r children and adolescen t s 
sh all be d e veloped i n conjunction with ou tp a t ien t 
tr ea t men t prog r ams. 

Involuntarily Commit t ed Pa t ients. All ce rt ifica t e o f 
need applica t ions fo r psychia fr ic beds shall indicate 
the pr oponen t s' willingness t o be de s ig n a t ed t o serve 
involuntarily committed p a t ients. 

(6) Substance Abuse P r og r ams t o T r ea t Adolescents. 
Adolescen t s shall r eceiv e subs t an ce abuse ^■ ea t ment 
se r vices that are distinc t from se r vices p r ovided t o 
adults. 

(7) De t e n nina t ion of In t ermedia t e Care Bed Need fo r 
Mentally — Re t arded/ — Develo p men t ally — Disabled 
Pe r sons. Afte r a p plying othe r requi r ed criteria, wh en 
su p eriori t y among two or mo r e com p e t ing ICF/MR 
certificate of need ap p lica t ions is unce rt ain, favo r abl e 
conside r a t ion shall be given to coun t ies tha t do no t 
have ICF/MR g r ou p homes when such counties a r e 
p art of a mul t i-county a r ea fo r which a need is shown 



10 NCAC 3R .30 30. 

tnsfer of Beds f r om S t a t e Men t al Retarda t ion 



Cen t ers. Facili t ies ! 



; t o t r ansfe r ICF/MR beds 



u ni t ies p r oposing t 
fr om S t a t e mental retarda t ion cen t e r s t o communi t ies 
shall demons t ra t e t ha t t h e y are commi tt ed to serving 
t h e same t yp e o f r e siden t s normally se i v e d in tlie S t a t e 
men t al r et arda t ion cen te rs. To ensu re t ha t re l oc a t ed 
beds will s er v e those persons, any certifica te of n ee d 
applica t ion proposing t o tr ansfe r b e ds und e r tliis rul e 
mus t me e t the r e quir e m e nts of Chap t er 858 of t he 
1983 S e ssion Laws. Tli e applica t ion for ti- ansf err ed 
b e ds shall include a wri tt en ag re em e n t by t he 
applican t wi t h t he following represen t a t iv e s which 
outl in e s the o p e r a t ional aspec t s of t he bed t ransf er s : 
Dire c tor of t h e Ar e a MH/DD/SAS Program s e rving 
t h e coun t y wh ere t h e pr o gi ^ am is to b e loca te d; t h e 
Dir e c t or of t he applicabl e S t a t e Men t al Retarda t ion 
C e nter; th e Chief o f D e velopmen t al — Disabili t y 
Services in t he DMII/DD/SAS; and th e Secretaiy o f 
t h e Depaitinent of Human R e sourc e s. 

Authority G.S. 131E-176(25): 131E-177(1): 131E-183(b). 



1927 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



.3051 APPLICABILITY OF RULES RELATED TO 

THE 1997 STATE MEDICAL FACILITIES 
PLAN 

Rules .3052 t h r ough .3054 and .305 6 through .3088 of th is 
Sec t ion a pp ly t o cer t ifica t e of need a p pUca t ions fo r which t he 
s cheduled r ev i ew period began during calendar yea r 1997. In 
a ddi t ion, Rule .3055 of this Sec t ion will be used t o implemen t 
pr ocedu r es desc r ibed wi t hin i t during calendar year 1 997. 

Authority G.S. 13 IE-] 76(25); 131E-177(]); 131E-183(b). 

.3052 CERTIFICATE OF NEED REVIEW 
CATEGORIES 

The agency has established nine c atego r ies of facili t ies and 

se r vices fo r ce rt ifica t e of need r eview and will determine the 

app r op r ia t e r eview ca t ego r y o r ca t ego r ies fo r all ap p lica t ions 

submi t ted p u r suan t t o lONCAC 3R.0304. Fo r proposals which 

include mo r e than one ca t ego r y, t he agency may r equi r e t he 

applican t t o submi t sepa r a t e a pp lications. If i t is no t prac t ical to 

submi t sepa r a t e a pp lica t ions, the agency will de t e r mine i n whi c h 

ca t ego r y the applica t ion will be r eviewed. — The re view of an 

applica t ion for a ce rt ifica t e of need will commence in the nex t 

r eview schedule after the applica t ion has been determined t o be 

complete. The nine ca t ego r ies of facili t ies a n d se r vices a r e : 

t\) Ca t ego r y A. — P r oposals fo r acu t e health se r vice 

facilities; — except — those — pr oposals — i n c l uded — in 

Ca t ego r ies D t h r ough H, including but no t limi t ed to 

the — f o llowing — types — of projec t s : r enova t ion, 

cons tr uc t ion, equipmen t , and acu t e ca r e service r. 

(2) Ca t ego r y D. P r oposals fo r long- t emi nurs i ng facili t y 
beds; new cont i nuing ca r e fac i l it ies a pp lying fo r 
exe mpt ion unde r 10 NCAC 3R .3083(b); and 
r elo c a t ions of nu r sing facili t y beds unde r 1 NCA C 
3R .3083(d). 

(3) Category C. P r oposals fo r new p sychia tr ic fac i li t ies; 
psychia tr ic beds in existing health care facilities; new 
intermedia t e ca r e f acil i ties for t he men t ally r eta r ded 
(ICF/MR) and ICF/MR beds in existing heal t h care 
facili t ies; — new — subs t ance — abtxse — and — chemical 
d epe nd e ncy treatment facili t ies; substanc e abus e and 
chemical dep e ndency O ' ea t men t b e ds in exis t ing h e al t h 
ca re facili t ies. 

(4) Ca te g or y D. Proposals for new dialysis s t a t ions in 
re s p onse t o t he "coun t y need" or "fac i li t y need" 
me t hodologi e s; and reloca t i o ns of e xis t ing dialysis 



s t a t ions t o ano t he r coun t y. 

(5) Ca t ego r y E. P r o p osals fo r new o r expanded inpa t ien t 
rehabilitati o n facili t ies and in p a t ien t r ehabilita t ion 
beds in othe r health care facili t ies; and new o r 
expanded ambula t o r y su r gical facili t ies exce pt those 
pr o p osals included in Ca t ego r y H. 

{€) Catego r y F. P r oposals fo r new home heal t h agencies 
o r offices, new hospices, new hos p ice in p a t ie nt 
f acili t y beds, and new hos p ice residen t ial care facili ty 
Deus. 

(7) Catego r y G. — P r oposals for conve r sion of hos p i t al 
beds t o nu r sing ca r e unde r 10 NCAC 3R .3083(a) ; 
and demons tr a t ion pr ojects. 

(8) Catego r y — H: Proposals — for — bone — marr o w 

tr ansplan t a t ion services, bum i n t ensive ca r e se r vices , 



neonatal in t ensive ca r e se r vices. 



5, o p en hea rt su r ge r y 
se r vices, solid organ tr a n s p lan t a t ion se r vices, a ir 
ambulance equipmen t , c ar diac angioplasty equi p men t , 
cardiac ca t he t e r iza t ion equipmen t , hea rt -lung b yp as s 
m a c h i nes, gamma knives, li t ho tr ip t o r s, m agne t ic 
resonance — imaging — scanne r s, — posi tr o n — emission 
t omog r a p hy scan n e r s, majo r medical equi p men t as 
de f ined in G.S. 131C-176(14f), diagnos t ic cente r s as 
defined inG.S.131E-176(7a), and oncology tr ea t men t 
cen t e r s as defined in G.S. 131E-17 6 (18a). 
(9) Catego r y I. — P r oposals involving cos t ove rr uns; 
ex p ansions of exis t ing co n t inuing ca re facil it i e s which 
are licensed by t he Depai t meii t of Insu r an c e at the 
da t e t he application is filed and are a p plying unde r 
e xem pt ions fr om need de t e r mina t ions in 10 NCAC 
3R .3072; r elocations within t he same county of 
existing heal t h se r vice facili t ies, beds o r dialysis 
s t a t ions which do no t involve an increase in the 
numbe r of heal t h se r vice facility beds o r s t ations; 
r eallocation of beds o r se r vices; Ca t egory A p r oposals 
submi tt ed by Academic Medical C ent e r T e ach i ng 
Ho sp i t als desig n a t ed p r io r to Janua r y 1, — 1990 ; 
pr oposals submi tt ed pu r suan t t o — 10 NCAC 3R 
■3080(c) by Academic Medical Cen t er Teaching 
Hospi t als designa t ed prior t o Januaiy 1 , 1 990; and any 
o t her proposal no t included in Ca t egories A tlii ^ ough 



Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 



.3053 CERTIFICATE OF NEED REVIEW SCHEDULE 

The agency has es t ablished t he following review schedules fo r ce rt i f ica t e of ne e d a pp lica t ion s. 
{\) Nu i' sing Car e Beds (in acco r danc e wi t h n e ed de t ermina t ions in 10 NCAC 3R .3072) 



Coun t y 



CON B e ginning 
R e view Da t e 



Al e xand e r 



tJurKc 



Ap r il 1, 1997 
F e bruaiy 1, 1997 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1928 



PROPOSED RULES 



Coun t y 



CON Beginning 
Review Date 



Che r okee 



Haywood 



Macon 

T r ansylvania 

Yancey 

Davidso n 

Surry 

Yadkin 

T,. ,.-1 .,11 

ireueii 

Lincoln 

Union 

G r anville 

Johns t on 

Lee 

waKe 

B r unswi c k 

Harnett 

r T - 1 - -, 

Moo re 

N e w Hanover 

Cur r i t uck 

G r e e n e 

fccnoTT 

•K I - - 1- 

JNasn 



Octobe r 1, 1997 

A T-ti-^l 1 1 0* 7 
Apm I, iyy t 

April 1, 1997 
Oc t obe r 1, 1997 
Oc t obe r 1, 1997 
April 1, 1997 
Feb r uary 1, 1997 
Oc t ober 1, 1997 
Augus t 1, 199 7 
Augus t 1, 1997 
A p ril 1, 1997 
April 1, 1997 
August 1, 1997 
M a y 1, 1997 

A4**T-..-» U 1 1 QQT 

Marcri 1, lyy/ 
May 1, 1997 

September 1, 1997 
March 1, 1997 
March 1, 1997 
May 1 , 1997 
Se pte mb er 1, 1997 
D e c e mb er 1, 1997 
S e p te mbe r 1, 1997 
May 1, 1997 
S e p te mb e r 1, 1997 



(2) Hom e Heal t h Agency Offic e s (in accordanc e with n ee d determina t i o ns in 10 NCAC 3R .3074) 



CON B e ginning 
HSA R e view Dat e 



i 



D e cemb er 1, 1997 



1929 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 




ff Ap r il 1, 1997 

Hi June 1, 1997 

fV November!, 1997 

V Mai - ch 1, 1997 

m July 1, 1997 



(3) De t ox-Only Beds (in acco r dance wi t h need de t e r mina t ions in 10 NCAC 3R .3078) 



Men t al Health Pla n ning A r eas 



\ — (Che r okee, Clay, G r aham, I laywood, Jackson, Macon, Swain) 

4 — (Hende r son, T r ansylvania) 

5 — (Alexande r , Burke, Caldwell, McDowell) 

6 (Ru t he r ford, Polk ) 

8 — (Gaston, Lincoln) 
44 — (Davie, Iredell, Rowan) 
13 (Su rr y, Yadk i n) 
\5 — (Rockingham) 
i7 — (Alamance, Caswell) 
+8 — (O r ange, Pe r son, Cha t ham) 
26 — (Vance, G r anvill e , Franklin, WaiT e n) 
2\ — (Davids o n) 

23 — (Blad e n, Columbus, Robes o n, Sco tl and) 
26 — (Johns t on) 
27 (Wak e ) 
31 (Wayne) 
32 — (Wilson, G re e ne ) 
33 — (Edg e comb e , Nash) 
34 (Halifax) 

35 — (Ca rt e r e t , Crav e n, J o n e s, Pamli c o) 
36 (Lenoir) 
3S — (Bertie, Ga t es, I l e i t f o rd, Northampton) 



C ON B e ginning 



Review Date 



A pr il 1, 1 9 97 



Ap r il 1 



A pr il 1 



April 1 



April 1 



April 1 



+997 



+997 



+997 



+997 



+997 



June 1, 



June 1, 



June 1, 



June 1, 



Jun e 1, 



May 1, 



May 1, 



May 1, 



May 1, 



May 1, 



May 



May 1, 



May 



May 1, 



May 1, 



997 



997 



997 



997 



997 
997 



997 



997 



997 
997 
997 
997 
997 
997 
997 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1930 



PROPOSED RULES 



Men t al I leal t h Pla n ning A r eas 



CON Beg inn i ng 
R e view Da t e 



39 (Beaufo rt , I lyde, Ma rt in, Ty rr ell, Washington) 

40 (Camden, Chowan, Cu rr ituck, Da r e, Pasquotank, Pe r quimans) 

41 (Duplin, Sampson) 



May 1, 1997 
May 1, 1997 
May 1, 1997 



(4) Intermedia t e Ca r e Facili t y Beds fo r Men t ally Re t ai ' ded (in accordance wi t h need de t e r mina t ions in 10 NCAC 3R .3079) 



Men t al Heal t h Planning Areas 



CON Beg i nning 
Review Da t e 



3 (Allegha n y, Ashe, Av er y, Watauga, Wilkes) 

14 (Fo r sy t h, S t okes) 

21 (Davidson) 

16 (Guilford) 

1 8 (O r ange, Pe r son, Cha t ham) 

24 (Cumbe r land) 

3 (Onslow) 

37 (Pi t t) 



December 1, 199 7 

June 1, 1997 
June 1, 1997 
Novembe r 1, 1997 
May 1, 1997 
May 1, 1997 
May 1, 1997 



(5) A pp lica t ions fo r ce rt ificates of need will be r eviewed pu r suan t t o t he following r eview schedule, unless ano t he r schedule 
has been specified in I t ems (1) tlirough (4) of this Rule. 



CON Beginning 
Rt 



IJO A 

1, II, I II 



TJC A 

rloA 

rv ^,v,vi 



January 1 
February 1 
March 1 
Ap r il 1 
May 1 
June 1 
Jtri5r+ 
Augus t 1 
Sep t ember 1 
Oc t ob er 1 
N ov emb er 1 



A, B,G, I 



D. F, II, I 



A, C, D, F, I 



B7*ri 



A, B, H, I 



D e cember 1 C, D, F, II, I 



e 

A, B, F, I 

B, C, H, I 

D 

Arivi 

B, E, H, I 

A,C,F,II,I 
B, D,II, I 



I 



1931 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



Authority G.S. 131 E- 176(25); 131E-177(1): 131E-183(b). 

.3054 MULTI-COUNTY GROUPINGS 

(a) H eal t h Se r vice Areas. The agency has assigned tlie coun t ies of t he s t a t e t o t he following heal t h se r vice a r eas fo r t he pur p ose 
of scheduling a pp lica t ions fo r ce rt ifica t es of need : 



HEALTH SERVICE AREAS (USA) 



i 


H 


HI 


iV 


V 


VJ 


County 


County 


County 


County 


County 


County 




Alamance 










Alexander 


Cabarrus 


Liiatnam 


Anson 
Bteden 


Beaufort 

DcTiTe 


Alleghany 


Caswell 


Gaston 


Durham 


Ashe 


Davidson 


iredett 








Franklin 


Brunswick 


Camden 


Avery 


Davie 


T .' .-. -^ <^ 1 .-. 




/^,.,i,,,.,i,,,.. 




Lmcoln 


Granville 


Columbus 


Carteret 








Johnston 


Cumberland 


Chowan 


Buncombe 


Forsyth 


Mecklenburg 


Borke 


Guilford 


Rowan 
Starrty 


fccc 
Orange 


Harnett 
Hoke 




Craven 


Caldwell 


Randolph 


Currituck 




1 ■ 1 


I 


Person 




Dare 


Catawba 


Rockingham 


Union 


Montgomery 








Vance 




1- 


Cheiokee 


stokes 


Moore 


Duplin 


eay 


arurry 




Wake 






New Hanover 


Edgecombe 








Warren 


Pender 


Gates 


Cleveland 


lauKin 












Greene 


Graham 


Richmond 











Robeson 


Halifax 


Haywood 


IT J 








^ 




Henderson 


Sampson 


Herttora 


Jackson 










Hyde 
Jones 


acotiana 


Mcuowcll 










Macon 










Lenoir 


Madison 










Mai'tin 
Nash 


Mitchell 


rrrtK 










^^ 


Northampton 
















Onslow 
Pamlico 


Swain 










Transylvania 










Pasquotank 


Watauga 

\H/I11 -L-ir. 










Perquimans 
Pitt 













14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1 932 



PROPOSED RULES 



I 


H 


Hi 

County 


iV 


V 

County 


V. 


County 


County 


County 


County 












Tyrrell 


Yancey 


Washington 
Wayne 


Wilson 



i 



(b) Men t al Heal t h Planning Areas. Th e agency has assigned t he c o un t ies of the sta t e t o t he follow i ng Me nt al Heal t h Planning 
Areas fo r pur p oses of t he S t a t e Medical Fa ci li t ies Plan : 

MENTAL HEALTH PLANNING AREAS 



Areai 



Constituen t Coun t ies 



2 

4 
5 
6 
7 
8 
9 

W 
H- 

i5 
\(i 

¥1 
\% 
+9 

2e 

2+ 



Che r okee, Clay, G r aham, Haywood, Jackson, Macon, Swain 

Buncombe, Madison, Mi t chell, Yancey 

Alleghany, Ashe, Ave r y, Watauga, Wilke s 

Hende r son, T r ansylvania 

Alexande r , Bu r ke, Caldwell, McDowell 

Ru t herford, Polk 

G as t on, Lincol n 

Catawba 

Mecklenburg 

Davie, Ired e ll, R o wan 

Cabar r us, S t anly, Union 

Sur r y, Yadkin 

Forsy t h, S t okes 

R o ckingham 

Guilford 

Alamanc e , Casw e ll 

Orang e , Pers o n, Cha t ham 

Du r ham 

Vance, Granvill e , Franklin, Wan - en 

Davidson 



1933 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



• 



Area Numbe r Cons t i t uen t C o u nt ies 



22 Anson, Hoke, Mon t gome r y, Moo r e, Richmond 

23 Bladen, Columbus, Robeson, Sc ot land 

24 Cumbe r land 

25 Lee, Harne tt 

26 Johns t on 
zT waKe 

zo Kanuoipn 

29 B r unswick, New Hanove r , P e nde r 

30 Onslow 
3t Wayne 

32 W il son, G r eene 

33 Edgecombe, Nash 

34 Hali f ax 

35 Car t e r e t . C r aven. Jones, Pamlico 

36 fcenoir 
3? Pitt 

38 Be rt ie, Ga t es, He r tfo r d, No rt hamp t o n 

39 Beaufor t , Hyde, Martin, Ty rr ell, Washingto n 

49 Camden, Chowan, Cur r ituck, Dare, Pasquo t ank, Pe r quimans 

4t Duplin, Sampson 



(c) M e n t al H e alth Plan ni ng Regi on s. The ag e nc y has assign e d t he c o un t ies of the s t ate t o t h e following Men t al Heal t h Planning 
R e gions fo r p urposes of t he Sta t e Medi c al Facili t ies Plan: 

MENTAL HEALTH PLANNING REGIONS (Ar e a Numb e r and Cons t i t uent C o un t ies) 



W e s te rn (W) 



4 — Cher o k e e, Clay, G r aham, Haywood, Jackson, Macon, Swain 
-2 — Buncomb e , Madison, Mi t ch e ll, Yancey 
■3 — Alleghany, Ashe, Av e iy, Watauga, Wilke s 
■4 — H e nd er son, T r a n sylva ni a 
-5 — Al e xande r , Burk e , Caldw e ll, McDowell 
6 Ru t h er ford, Polk 
-^ — Clev e land 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1934 



PROPOSED RULES 



-8 — Gas t on, Lincoln 

-9 — Ca t aw b a 

\Q — Mecklenbu r g 

44 — Dav i e, I re dell, Rowan 

\2 — Caba rr us, S t anly, Union 



No rt h Cen tr al (NC) 



13 Su rr y, Yadk in 

14 Fo r syth, S t okes 
\5 Rockingha m 

1 6 Guilfo r d 

1 7 Ala m a n ce, Caswell 

4-8 — O r ange, Pe r son, Chatha m 

\9 — Durham 

20 Vance, G ra nville, F r anklin, War r e n 



Sou t h Cent r al (SC) 



24 — Davidso n 



22 — Anson, Hoke, Mon t gome r y, Moo r e, Richmond 
23 — Bladen, Columbus, R ob e so n , Sc ot land 
24 Cumbe r land 
25 — Lee, Ha r ne tt 
26 — Johnston 

27 Wake 

28 Randolph 



Eas te rn (E) 



29 — B r unswick, New Hanover, Pende r 

30 Onslow 

34 — Wajmc 

32 — Wilson, G re en e 

33 — Edg e combe, Nash 

34 Halifax 



35 — Ca rteret , C r av e n. Jon e s, Pamlico 
36 — Len o ir 



< 



1935 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



37 Pi tt 

38 — Ber t ie, Ga t es, He r tfo r d, Northamp t on 

39 Beaufo rt , Hyd e , Martin, Ty rr ell, Washing t o n 



40 Camden, Chowan, Cu rr ituck, Da r e, Pasquo t ank, Pe r quimans 

41 Du p lin, Sam p s on 



Authority G.S. 131E- 176(25); 131E-177(I): 131E-183(I). 

.3055 REALLOCATIONS AND ADJUSTMENTS 

(a) REALLOCATIONS. 
{\) Realloca t ions shall be made only t o t he ex t ent t ha t need de t e mi ina t ions in 10 NCAC 3R .3057 tlirough .3079 indicate t ha t 
need exists afte r the inven t o r ies are r ev is ed and the need de t e n nina t ions a r e r ecalcula t e d. 

(2) B e ds o r se r vices which are reallocated o nc e in acco r dance w it h t his Rul e shall no t be r ealloca t ed again. Rather, t he Medical 
Facilities Planning Sec t ion shall make any necessa r y changes in the nex t annual State Medical Facilities Plan . 

(3) D i alysis s t a t ions t ha t a r e wi t hdrawn, r elinquished, no t a pp lied fo r o r dece rt ified shall not be reallo c a t ed. Ins t ead, any 
i i e c e ssa i y l e d et e r mination of need shall be made in t he n ext scheduled publica t ion of the Semia n nual Dialysis Repo rt. 

(4) Ap p eals of Certifica t e of Need Decisions on Ap p lications. Need de t e r mina t ions of beds or services fo r which t he CON 
Sec t ion decision has been a pp ealed shall no t be r eallocated un t il the a pp eal is r esolv ed. 

(A) A pp eals Resolved P r io r to August 17 : If an a pp eal is r esolved in t he calendar year prio r t o Augus t 17, t he beds o r 
se r vices shall no t be r eallocated by the CON S e c t ion; r athe r the Medical Facili t ies Planning Section shall make t he 
necessa r y c h anges in t he nex t annual State M e dical Facilities Plan. 

(B) Appeals Resolved on o r Afte r Augus t 1 7 : If t he appeal is resolved on o r afte r Aug u s t 17 in the calendar year, t he 
beds o r services, excep t fo r dialy s is sta t ions, shall be made available fo r a r eview pe r iod t o be de t e r mined by t he 
CON Section, but beginning no ea r lie r than 60 days f r om t he da te that t he ap p eal is r esolved. No t ice shall be mailed 
by t he Certifica t e of Need Sec t ion to all p e r sons on the m ailing lis t fo r the S t ate Medical Facili t ies Plan, no less t ha n 
45 days prio r t o the due da t e for receip t of new a p plica t ions. 

(5) Withdrawals and R e linquishments. Excep t fo r dialysis s t a t ions, a need detem i ination fo r which a ce rt ificate o f need is 
issued, bu t is subsequently withdrawn o r rel i nquished , is available fo r a r eview pe r iod t o be de t e r mined by the Certifica t e 
o f Need Section, bu t beginning no ea r lie r than 60 days fr om : 

(A) t he last date on which an appeal of the no t ice of in t en t t o withdraw the certificate could be filed if no ap p eal is filed, 

(B) t he da t e on which an appeal of the wi t hdrawal is finally r esolved against the holde r , or 

(C) t he da t e tha t t he Ce rt ifica t e of Need Section r eceives fr om t he holde r of t he certifica t e of need n ot ic e t ha t t h e 
ce rt ifica t e has been voluntarily r elinquished. 

No t ice of t he scheduled r eview pe r iod fo r the r ealloca t ed se r vices o r beds shall be mailed by t he Ce rt ificate of Need Sec t ion 
t o all p er sons on t h e mailing lis t fo r t he S t ate M e dical Facili t ies Plan, no l e ss t han 45 days prior to t he due da t e f o r submi t tal 
of t he new applica t ions. 

(6) N e ed De t ermina t ions for which No Applica t ions are Receiv e d : 

(A) SeiTices or Beds wi t h Scheduled R e view in t he Cal e ndar Y e a r on or Before S e p t ember 1 : Tlie C ert ifi c a te o f N eed 
S e c t ion shall no t reall o ca t e t h e services or beds in t his ca te go r y for which no applica t ions were received, be c aus e 
t he Medical Facili t ies Planning S e c t ion will hav e sufficien t t ime t o mak e any necessaiy changes in t he d et ermina t ions 
of n ee d fo r t hese s el^ vices or beds in t he n e x t annual Sta t e Medical Facili t ies Plan. 

(B) S e iTices o r B e ds wi t h Scheduled Review in t he Cal e ndar Year Aft e r Septemb e r 1 : A ne e d de temii na t ion i n t h is 
ca te gory for which no applica t ion has been received by t li e las t due da t e for submi t tal of applica t ions sh a ll b e 
available to b e appli e d for in t h e second Ca t egoiy I r e view period in t he nex t cal e ndai - y e a r f or t h e a p pl ic abl e USA - 
No t ic e of th e schedul e d r eview period for t he r e alloca te d beds o r sel ^ vices shall be mailed by t he Certifica t e o f N ee d 
S e c t ion to all p er sons on t he mailing lis t for t h e S t a te Medical Facili t i e s Plan, no less t han 45 days prior t o t lie du e 
da te for submi t tal of new applica t ions. 

(7) N e ed Det e rminations no t Awarded because Applica t ion Disapp r oved. 

(A) Disapproval in the Cal e ndar Y e ar pr i or t o Augus t 17 : Ne e d determina t ions or portions of such need de te rmina t ions 
for which a p pli c a t ions we re submi tte d bu t disa p proved by t he Certifica t e of N e ed Sec t i o n before Augus t 1 7, shall 
no t b e r e alloc ate d by th e C ert ificate of Ne e d S e c t ion. Ins t ead t h e Medical Facili t ies Planning S e c t ion shall mak e 
t h e n e c e ssaiy chang e s i n t he n e x t annual S t a te M e di c al Fa c il it i e s Plan, if no a ppe al is filed. 

(B) Disapproval in t he Calenda r Ye a i' on o r Af te r Augu st 17 : — Nee d d et e r mina t i o ns or po rt ions of such n ee d 
de t erminations for which applica t i o ns were submi tt ed bu t disapproved by t he C ertifi ca te of N ee d S ect ion on or a ft er 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1936 



PROPOSED RULES 



Augus t 17, shall be r ealloca t ed by t he Certifica t e of Need Section, excep t fo r dialysis stations. A need in t his 

ca t ego r y shall be available fo r a r eview period t o be de t ermined by the Ce rt ificate of Need Sec t ion bu t beginning 

no ea r lie r t han 95 da y s f r om t he date the applica t ion was disapproved, if no appeal is filed. Notice of tlie scheduled 

r eview period for the r eallocation shall be m ailed by the Certifica t e of Need Section to all persons on the mailing 

li st fo r t he S t a t e Medical Facilities Plan, no less t han 80 days prio r t o t he due date fo r submi t tal of tlie new 

applica t ions. 

(8) Realloca t ion of Dece rt ified ICF/MR Beds. If an ICF/MR f acil i ty's Medicaid ce rt ifica t ion is r el i nquished o r r evoked, t he 

ICF/MR beds in t he f acility shall be reallocated by the Depaitment of Hu m an Resou r ces, Division of Facility Se r vices, 

Medical Facilities Planning Sec t ion p u r suan t to t he provisions of the following Sub-parts. The r ealloca t ed beds shall only 

b e used t o convert five-bed ICF/MR facilities in t o six-bed facili t ies. 

(A) I f th e numbe r of five-bed ICF/MR facil iti es in the men t al heal t lT pla n ning region in which the beds are located equals 
or exceeds t he numbe r of realloca t ed beds, the beds shall be r eallocated solely wi t hin the planning r egio n a ft e r 
considering the r ecommendation of t he Regional Team of Developmental Disabil it ies Se r vices Di r ec t o r s . 

(B) If t he number of five-bed ICF/MR facilities in the men t al health planning region in which the beds are loca t ed is less 
th an t he numbe r of r eallocated beds, the Medical Facili t ies Planning Section shall reallocate the excess beds t o othe r 
plamiing r egions afte r considering the recommendation of the Develo p mental Disabili t ies Section i n the Division 
of Mental Health, Develo p mental Disabili t ies, and Substance Abuse Serv i ces. The Medical Facili t ies Planning 
Sec t ion shall then allocate the beds among t he planning ai ' eas within those planning regions afte r c o nside ri ng the 
r e c o m menda t ion of t he ap pr op r iate Regi on al Teams of Develo p men t al Disabili t ies Se r vices Directo r s . 

(C) Tlie Department of Human Resources, Division of Facility Services, Ce r ti f ica t e of Need Section shall schedule 
r eviews of applications fo r these beds p u r suant t o Subparag r aph (a)(5) of this Rule. 

(b) CHANGES IN NEED DETERMINATIONS. 
(^ The need determinations in 1 NCAC 3R .3057 tlirough .3079 shall be r evised co n tinuously tliroughout the calendar yea r 
to r eflec t all changes in t he inventories of 

(A) t he health se i- vices listed at G.S. 131E-176(16)f; 

(B) health se r vice facili t ies; 

(C) heal t h se r vice facility beds; 

(D) di alysis s t a t ions; 

(E) the equipment hs t ed at G.S. 131E-176(16)fl; and 

(F) mobile medical equipment; 

as those changes a r e r e p orted to the Medical Facilities Planning Section. However, need determinations in 10 NCAC 3R 
.3057 through .3079 shall not be r educed if the relevant invento r y is adjusted upwa r d 30 days or less prio r to the f ir s t day 
of the a p plicable review period. 

(2) Inven t ories shall be u p dated to r eflect : 

(A) decertification of home health agencies or offices, in t ermediate ca r e facili t ies for the mentally r eta r ded, and dialysis 
s t a t ions; 

(B) delicensu r e of health service facilities and health service facility beds ; 

(C^ d e moli t ion, des t mc t ion, or decommissioning of e quipmen t as lis t ed a t G.S. 131E-176(16)fl and s; 

(D) elimina t i o n o r r educ t ion of a heal t h service as lis t ed a t G.S. 131E-176(l(j)f; 

(E) psychia t i ' ic beds licensed pursuan t t o G.S. 131E-184(c); 

(F) certifica t es of need awai ' ded, r elinquish e d, or wi t hd l^ awn, subsequen t t o t he p repara t ion of t he inv e n t o r i e s in t he Sta t e 
M e d i c a l F aciliti es P lan; and 

(Cr) cor r ec t ions of er r o r s in t h e inven t oiy as reported t o t he M e dical Facili t ies Planning Sec t ion. 

(3) Any person who is in t eres t ed in applying for a new ins t i t u t ional health service for which a need determina t ion is made in 
10 NCAC 3R .3056 tluough .3079 may ob t ain information abou t upda t ed inven t ories and need de t erminations from t he 
Medical F a c il it ies Planning S e c t ion. 

(4) Need d ete rminations r esulting fr om changes in inven t oiy shall be available for a review period t o be de t ermined by tlie 
Certifica t e of Need Sec t ion, bu t beginn in g no ea r lier than 60 days from t he da t e of t he ac t ion iden t ified in Pai - agraph (b ) 
o f this Rule. No t ice of t he scheduled re view period for t he need determination shall be mailed by the Certifica t e of Need 
Sec t ion to all persons on t he mailing lis t fo r t he S t a t e Medical Facili t ies Plan, no l e ss t han 45 days prio r t o t he due da t e for 
submi tt al of t he new applica t ions. 

Authority G.S. 131E-1 76(25); 131E-177(1); 13 IE-] 83(b). 

.3056 DIALYSIS STATION NEED DETERMINATION 

(a) Th e M e dical Facili t i e s Planning Sec t i o n (MFPS) shall determin e n e ed for new dialysis s t a t ions t wo t imes each calendar - yeai - , 
a nd shall make a r eport of such de t ermina t ions available t o all who reques t i t . Tliis r e po rt shall be called the North Carolina 



1937 NORTH CAROLINA REGISTER May 15,2000 14:22 



PROPOSED RULES 



Semiannual Dialysis Re p o rt (SDR). Da t a t o be used fo r such de t e r mina t ions, and t hei r sources, a r e as follows : 

ft) Numbe r s of dialysis p a t ien t s, by t ype, cou nt y and facil i ty, f r om t he Sou t heas t e r n Kidney Council, Inc. (SEKC) and t he Mid- 
At lan t ic Renal Coali t ion, Inc. as of December 31,1 996 fo r t he March SDR and as of June 30, 1 997 fo r t h e Se pt embe r SDR. 

(2) Ce rt ifica t e of need deci s i o ns, decisions a pp ealed, a pp eals se tt led, and awa r ds, f r om t he Ce rt ifica t e of Need Sec t ion, DFS. 

(3) Facili t ies ce rt ified fo r par t icipa t ion in Medica r e, fr om t he Ce rt ifi c a t ion Sec t ion, DFS. 

(4) Need determina t ions for which ce rt ifica t e of need decisions have no t been made, fi- o m MFPS r eco r ds . 

Need d e terminations in this r e p ort shall be an in t eg r al p a rt of t he S t a t e Medical Facili t ies Plan, as pr ovided in G.S. 13112-183 . 
(b) N eed fo r new dialysis s t a t ions shall be de t e rmi ned as follows : 
{¥) Coun t y Need 

(t^ The ave r age annual r ate (%) of change in t o t al numbe r of dialysis p a t ien t s r esiden t in each coun t y f r om t he end of 

1992 t o the end of 19 9 6 is mul t i p l i ed by t he coun t y ' s 199 6 y e a r end t otal nu m be r of pa ti e nt s in t he SDR, and t he 

p r oduc t is added t o each county's most r ecen t t o t al number of p atien t s r e p o rt ed in t he SDR. The sum is t he coun t y's 

p r ojec t ed to t al 1997 p a t ien t s. 
(B) The p e r cent o f each coun t y's t o t al patien t s who we r e home dialysis p a t ien t s a t t he end of 1 9 9 6 is mul t i p lied by t he 

coun t y's p r ojec t ed t o t al 1 997 p atien t s, and the pr oduct is sub tr ac t ed fr om t he coun t y 's pr ojec t ed to t al 1 997 pa t ients. 

The r emainde r is t he coun t y's pr ojected 1997 in-cen t e r dialysis p a t ien t s . 
(G) The pr ojec t ed n umbe r of each coun t y's 1997 in-ce nt e r pa t ien t s is divided by 3.2. The quo t ien t is t he p rojec t ion of 

t he county's 1997 in- c en t e r dialysis sta ti ons. 
(B) F r om each county's pr ojec t ed numbe r of 1997 in-cen t e r s t a t ions i s sub tr ac t ed t he coun t y's numbe r of sta t ions 

ce rt ified fo r Medica r e, CON-app r oved a n d aw aiti ng ce rt ifica t ion, awaiting r esolu t ion of CON appeals, and t he 

numbe r re pr esented by need de t ermina t ions in pr evious S t a t e Medical Facilities Plans o r Semiannual Dialysis 

Re p o rt s fo r which CON decisions have no t been made. The r e m ainde r is t he county's 1997 projected sur p lus o r 

d efi cit. 
(E) If a county's 1 997 p r ojec t ed station deficit is 1 o r g r ea t e r and t he SDR shows t ha t u t iliza t ion of each dialysis facility 

in t he coun t y is 80% o r g r ea t e r , t h e 1 9 9 7 county s t ation need determination is t he same as t he 1 997 pr ojected s t a t io n 

defici t . If a county's 1997 p r oj e c t ed s t a t ion defici t is less than 10 o r if the u t iliza t ion of any dialysis facility in t he 

coun t y is less t han 80%, t he county's 1997 s t a t ion need de t ermina t ion is z er o. 



A dialysis facili t y loca t ed in a county fo r which the r esul t of t he Coun t y Need me t hodology i s ze r o i n the refe r ence 

Semiannual Dialysis Re p o rt (SDR) is de t e r mined to need addi t ional s t a ti ons to t he ex t en t t ha t: 

(At) I t s u t ilizafion, r epo rt ed i n t he cu rr en t SDR, is 3.2 p a t ien t s p e r s t ation o r g r eate r . 

(S) Such need, calculated as follows, is r e p o rt ed in an a pp lication fo r a certificate of need : 

(t) The facili t y's numbe r of in-cen t e r dialysis pa t ients reported in the p r evious SDR (SDR ,^ ) is subtract e d from 

t he numbe r of in-cen t e r dialysis p a t ien t s r epo rt ed in t he cu rr en t SDR (SDR , ). The differenc e is mu l tipli e d 

by 2 t o p r ojec t t he ne t in-cen t e r chang e fo r one year. Divide t he projected ne t in-cen t e r chang e fo r t h e yea r 

by the numbe r of i n-ce nt e r pa t ien t s fr om SDR ^ to determine th e proj ec ted annual growth rate. 

iti) The quo t ien t fr om Sub part (b)(2)(B)(i) of t his Rule is divid e d by 12. 

(m) The quo t i e n t f r om Subpart (b)(2)(D)(ii) of t his Rule is mul t iplied by t he number of mon t hs from t h e mos t 

r ec e n t mon t h reported in the curr e n t SDR un t il t h e e nd of cal e ndar 1997. 
(iv) The p r oduc t from Subpart (b)(2)(B)(iii) of t his Rul e is mul t iplied by t he numb e r of t h e facili t y's in-cen t er 
p a tie n t s r e ported in t h e curren t SDR and tha t pr o duc t is added t o such report e d number of in-cen te r pa t ien t s. 
(v) Th e sum from Subpart (b)(2)(B)(iv) o f thi s Rul e i s div i d e d by 3.2, and from t h e quo t i e n t is sub t rac t ed t he 
facili t y's curren t number o f certifi e d and p e nding s t a t ions as r e corded in t h e cuir e n t SDR. Tli e r e maind e r is 
t h e number of s t a t ions n e ed e d. 
(€) The facili t y may apply to expand t o m e e t the n eed e s t abl ishe d in S ubp art (b)(2)(B)(v) o f t h i s Rul e , up t o a maximum 
of 10 sta t i o ns. 
(c) Th e schedule for publica t ion of t he No rt h Carolina Se m ia nnu al D i alysis R e port (SDR) and for r e c e ip t of c ertifica t e of ne e d 
applica t i o ns based on each issue of t his r e port in 1997 shall b e as follows : 



Da t a f o r 



Peri o d Endin 



R e ceip t o f 



S_ 



Publica t i o n 
o f SDR 



R e ceip t o f 



B e ginning 



Revi e w Da te s 



D e c. 31, 1996 
Jun e 30, 1997 



Feb. 28, 1997 
Aug. 29, 1997 



March 20, 1997 
Se pt . 19, 1997 



May 16, 1997 
Nov. 14, 1997 



June 1, 1997 
De c . 1, 1997 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1938 



PROPOSED RULES 



(d) An a p plica t ion fo r a ce rt ificate of need p u r suan t to this Rule s h all be accep t ed only if it demons tr a t es a need by u t ilizing one 
of t he methods of dete r mining need ou t lined in t his Rule ; 

(c) An applica t ion fo r a new End S t age Renal Disease facili t y shall not be app r oved unless i t do c umen t s the need for at leas t 1 
s t a t ions based on u t iliza t ion of 3.2 pa t ien t s pe r sta t ion p e r week ; 

(f) Home pa t ien t s will no t be included in determina t ion of need for new s t a t ions. 

Authority G.S. 13 1 £-176(25); 131E-177(1); 131 E-l 83(b). 

.3057 ACUTE CARE BED NEED DETERMINATION (REVIEW CATEGORY A) 

It is determined tha t t he r e is no need fo r addi t ional acute care beds. 

Authority G.S. 13 IE- 176(25); 131E-177(I); 131E-183(b). 

.3058 REHABILITATION BED NEED DETERMINATION (REVIEW CATEGORY E) 

It is determined t ha t t he r e is n o need fo r additional r ehabili t a t ion beds. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.3059 AMBULATORY SURGICAL FACILITIES NEED DETERMINATION (REVIEW CATEGORY E) 

I t is de t e r mined t ha t t he r e is no need fo r additional ambula t ory surgical facilities, excep t that a Rural Prima r y Care Hospital 
designated by t h e N.C. Office of Ru r al Health Se r vices pursuan t t o Sec t ion 1 820(f) o f the Social S e curi t y Ac t may a pp ly fo r a 
ce rt ifica t e of need t o conve rt existing ope r a ti ng r ooms fo r use as a fr ees t anding ambula t o r y surgical facility . 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.3060 OPEN HEART SURGERY SERVICES NEED DETERMINATIONS (REVIEW CATEGORY H) 

I t is dete r mined tha t the r e is a need fo r addi t ional o p en hea rt su r ge r y se r vic e s fr om any hos p ital which acqu ir ed a hea rt -lung by p ass 
m achine prio r t o March 18, 1993 and which, neve r theless, is unable to use such machine in the p r ovision of o p en hea rt su r ge r y 
se i' vices because t he hos pit al does no t have a ce rt ifica t e of need au t horizing i t t o provide open hea rt su r ge ry se r vices. I t is fu rt he r 
de t e r mined tha t the citizens se r ved by, and r esid i ng in t he gen er al se r vice a r eas of, such h o s p i t als ha v e a n e ed for such additional o p en 
hea rt s u r ge r y se r vices. These needs exis t despite the ca p acity t o pr ovide o p en heart surge r y se r vices of any othe r hos p i t al o r hos p i t als 
i n t h e S t a t e. The r e is n o othe r need fo r additional open hea rt surgery services. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.3061 HEART-LUNG BYPASS MACHINES NEED DETERMINATION (REVIEW CATEGORY H) 

I t is dete r mined t ha t t he r e is no need fo r t he acquisi t ion of hea rt -l u ng by p ass m achines by anyone . 

Authority G.S 131E-1 76(25); 131E-177(1); 131 E-l 83(b). 

.3062 HEART-LUNG BYPASS MACHINES NEED DETERMINATION FOR EXISTING OPEN HEART 
SURGERY SERVICES (REVIEW CATEGORY H) 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.3063 CARDIAC CATHETERIZATION EQUIPMENT NEED DETERMINATION (REVIEW CATEGORY H) 

It is determined t ha t t h e re is no ne e d f o r t h e acquisi t ion of cardiac ca t he ter iza t ion equi p men t by any one. 

Authority G.S 131E-1 76(25); 131E-177(1); 131E-183(b). 

.3064 CARDIAC CATHETERIZATION EQUIPMENT NEED DETERMINATION FOR EXISTING 
PROVIDERS (REVIEW CATEGORY H) 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.3065 CARDIAC ANGIOPLASTY EQUIPMENT NEED DETERMINATION (REVIEW CATEGORY H) 

I t is de te rmin e d tha t t h ere is no n ee d for t he acquis it ion of cardiac angioplas t y equipmen t by anyon e. 



t 



4 



1939 NORTH CAROLINA REGISTER May 15, 2000 14:22 



PROPOSED RULES 



Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 






.3066 CARDIAC ANGIOPLASTY EQUIPMENT NEED DETERMINATION FOR EXISTING 
PROVIDERS (REVIEW CATEGORY H) 

Authority G.S. 131E-176(25); !3!E-177(1); 131E-183(b). 



.3067 BURN INTENSIVE CARE SERVICES NEED DETERMINATION (REVIEW CATEGORY H) 

I t is de t e n nined t ha t t he r e is no need for addi t ional bum in t ensive ca r e se r v i ce s. 

Authority G.S. 13 IE- 176(25); 131E-177(1); 131E-1 83(b). 

.3068 POSITRON EMISSION TOMOGRAPHY SCANNERS NEED DETERMINATION (REVIEW 
CATEGORY H) 

It is determined t ha t t he r e is no need for addi t ional posi tr on emission t omog r a p hy scanne r s fo r pur p oses ot he r t han r esea rc h . 

Authority G.S 131E-1 76(25); 131E-177(1): 131E-1 83(b). 

.3069 BONE MARROW TRANSPLANTATION SERVICES NEED DETERMINATION (REVIEW 
CATEGORY H) 

It is dete r mined tha t allogeneic bone m a rr ow tr ansplan t ation se r vic e s shall be dev e lo p ed and offe r ed only by academic medical 
cen t e r teaching hospitals as designa t ed in 1 NCAC 3R .3Q8Q(c). It is also dete r mined t hat the r e is no need fo r additional allogeneic 
o r autologous bone mar r ow tr ansplan t a t ion se r vices. 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.3070 SOLID ORGAN TRANSPLANTATION SERVICES NEED DETERMINATION (REVIEW 
CATEGORY H) 

Solid O r g a n T r a n splan t a t ion Services shall be dev e lo p ed and offe r ed only by academic medical cen t e r teaching hos p i t als as 
designa t ed i n 10 NCAC 3R .3080(c). I t is de t e r mined t ha t the r e is no need f or new solid o r gan tr ans p lant se r vices. 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.3071 GAMMA KNIFE NEED DETERMINATION (REVIEW CATEGORY H) 

It is deteiinined t hat the r e is no need fo r a gamma knife. 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.3072 NURSING CARE BED NEED DETERMINATION (REVIEW CATEGORY B) 

I t is d et ennined t ha t t h e coun t ies lis t ed in t his Rule need addi t ional Long-Term Nursing Facili t y Beds as specified. Tliere is no need 
fo r addi t ional Long-Term Nursing Facili t y Beds in o t h e r coun t i e s, excep t as o t herwise provid e d in 10 NCAC 3R .3073 . 





X, 


Number of Nursing 


County 


Beds Needed 


A 1 3., T,. -1 -, ,. 


46 


Alexander 


Burke 


96 


/-"I. ... 1 . . 


36 


Cherokee 


/^ 1 ,. I ., . , , 1 


66 
56 


Cleveland 


Haywood 


, , 


46 

56 


Jackson 


Macon 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1940 



PROPOSED RULES 



County 



Numbe r of Nu r sing 
Beds Needed 



Transylvania 
Yance y 



Davidson 



Cumberland 



I lamett 

1 loKe 

Moo r e 

New Hanov er 

Cu r rituck 

G re ene 

Lcnou" 

PraSft 



36 
20 

lUU 

?0 
46 
96 
36 
96 
26 

1 (\{\ 

lUU 

36 
i?6 
36 
6 
56 
46 
96 
«6 
26 
36 
46 
66 



Authority G.S. 131E-1 76(25); 131E-177(1); 131E-183(b). 

.3073 DEMONSTRATION PROJECT ON PEDIATRIC NURSING CARE NEED DETERMINATION 
(REVIEW CATEGORY G) 

(a) I t is d eter mined t ha t nin e nu r s in g f ac i li t y beds a re n e e ded t o demons tr a t e t h e e fficacy of sho rt - t erm (less t han 30 days) ca re o f 
m e dically fragil e infan t s and c hild re n. This d e mons t ra t ion pr oj e c t shall provide s er vices t o support m e dically fragil e childr e n who 
a r e p r imarily cared fo r at home and shall p r ovide da t a t o assis t in de t ermining if t h e se childr e n can b e su c c e ssfully cared for a t home 
ove r t he long- t erm wi t h i nte r mi t t e n t inpa t i e n t nursing facili t y admission. Because of improv e d medical pro cedur e s and Ca re , more 
infan t s wi t h compl e x m e dical n e eds are surviving and are being discharg e d from h o spitals. The m e dical e quipme nt and cai ' e n ee d e d 
by t h e se childr e n in t h e home is qui t e sophis t icated. P e dia tr ic pa t i e n t s suff eri ng from acquir e d brain injury o r fro m major ti " auma with 



significan t orthopa e dic pr oblems may also requi re co n ti nu e d s er vi ce s, 
d ischa r g e f r om r ehabili t a t ion hospitals. Th e p rop os e d p r o ject shall be d e s 



in t ermi tt en t inpa t ien t nursing cai -e servic e s, a ft er 



the transi t ion f r om t h e hospi t al environmen t ^ 
to c a re a t hom e fo r t hese pa t ien t groups. I t shall also o ff e r re sp ite care and o t h er se r vices to low birth-w e igh t childi ' en, t o childi 'e n ^ 
wi t h s er ious clironic condi t ions, and to c hild re n wi t h r e habili t a t i o n ne e ds. 



1941 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



(b) All applicant for t he pr ojec t shall demons tr a t e th a t home health se r vices shall be p r ovided t lirough a home heal t h agency . 
Fmthenno r e, an applican t shall demons tr a t e coo r dina t ion with o t he r health se r vi c es, including a hospice p r ovide r , an acu t e ca r e 
provid e r , and an inpa t ien t r ehabili t a t ion provide r . P r ojec t ove r sigh t shall include a t leas t one Pedia tr ician who is will i ng t o se i' ve as 
m edical advisor and willing to assis t in evalua t ion of t he demons tr a t ion projec t 's effec t iveness. The goal of the services p rovided shall 
be fo r long-term main t enance of t he p ed i a tr ic p a t ien t a t home . 

(c) The demons tr a t ion p r ojec t shall p r ov i de data t o evalua t e t he effec t iveness of t his t ype of pr og r am i n a t leas t t hese ways : 
(T) Enhanced pa r en t confidence/willingness t o ca r e for t he child a t home; 

(2) Reduced leng t h of stay fo r hospitaliza t ion episodes; 

(3) Reduced hospi t aliza t ions/ r ehos p i t aliza t ions; 

(4) Reduced incidence of ins t itutionaliza t ion of c h i ldren t o long-term ca r e facili t ie s; 

(5) Ou t co m es of ca r e — especially r ela t ive t o rehabilita t ion, chronic disease care; 
{€) Cos t da t a — cos t efficiencies, expense, r e i mbu r semen t issues. 



fd) The de m ons tr a t ion projec t shall p r ovide da t a t o evalua t e if addi t ional prog r ams in No rt h Carolina would benefi t t he medically 
fr agile p edia t ric popula t ion. Data shall be pr ovided t o t he NC State Heal t h C o o r d in a ti ng Council a t the end 
fi r s t five ope r a t ing y e ars . 



jf the pr ojec t 's 



Numbe r of Nu r s i ng 
Geog r aphic A r ea Beds Needed fo r t he Pedia t ric 
Demons tr a t ion P r o ject 



Sta t ewide 



Authority G.S. 131 £-176(25); 131E-177(1): 131E-183(b). 

.3074 HOME HEALTH AGENCY OFFICE NEED DETERMINATION (REVIEW CATEGORY F) 

(a) It is de t e r mined tha t the Health Se r vice Areas iden t ified in 10 NCAC 3R .3054(a) and lis t ed i n t his Rule may have a need fo r 
ad d i t ional home heal t h agency o f fices. 

(b) A p plica t ions fo r ce rt i f icates of need fo r home h e al t h agency offices filed pui ' suan t t o th e se adjus t ed need dete r minations shall 
demons tr a t e : 

fh) t ha t t he a p plicant pr oposes t o add r ess t he needs of a t leas t one of the following special needs g r ou p s : 

(A) r acial mino rit ies, 

(B) nu r sing home pa t ients in tr ansi t ion to t he community , 
(€) I II V/AIDS pa t ien t s, 

(D) Alzheime r 's Disease/senile dementia pa t ients, o r 

(E) unde r se r ved patien t s in ru r al counties; and 

(2) t ha t t he applican t proposes t o se r ve, during i t s firs t oper a t ing y e ar, a t l e as t 50 pa t i e n t s who ar e m e mb er s of t h e sp e cial 
g ro u p s id e n t ifi e d in Subparag r aph (1), o f t his Rule; and 

(3) t ha t e i t he r: 

(A) home h e al t h agenci e s cuir e n t ly s er ving t he g e ographic area ar e no t mee t ing t he n e eds of t he g ro ups t h e applican t 
proposes to s e i ' v e ; or 

(B) t he proposed home heal t h agency office will off e r n e w or innova t iv e services no t cur r en t ly being offered by h o m e 
heal t h ag e nci e s t ha t serve t h e g e ographic ar e a t he applican t proposes t o s e i - ve . 



HSA Number of Agencies 
or Offices Needed 




14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1942 



PROPOSED RULES 



USA Numbe r of Agencies 
or Offices Needed 



Vi 



Authority G.S. 131E-176(25); I31E-177(1); 13 IE-] 83(b). 

.3075 HOSPICE NEED DETERMINATION (REVIEW CATEGORY F) 

I t is determined that t here is no need for additional Hospices. 

Authority G.S. 131E-I76(25); 131E-177(1); 131E-183(b). 

.3076 HOSPICE INPATIENT FACILITY BED NEED DETERMINATION (REVIEW CATEGORY F) 

(a) S in gle Counties. Single coun t ies with a p r ojected de f icit of six o r mo r e beds a r e alloca t ed beds based on the pr ojected defici t . 
I t is de t ermined t ha t t he r e is no need fo r additional single county hos p ice in p atient facility beds . 

fb) Contiguous Counties. It is dete r mined that any combination of two o r mo r e contigu o us count i es taken from the following list 
shall have a need fo r new hospice inpatient facility beds if the combinedbed defici t for the gi ' ouping of con t iguous coun t ies t otals 
six o r mo r e beds. Each county in a g r ouping of con t iguous coun t ies mus t have a deficit of a t leas t one and no mo r e t han Five beds. 
The need fo r the g r ou p ing of contiguous counties shall be the sum of the deficits in the individual coun t ies. Fo r purposes of this Rule, 
"con t iguous coun t ies" shall mean a g r ouping of North Carolina coun t ies which includes the county in which t he new hospice inpatient 
f acility is p r oposed t o be loca t ed and any one o r mo r e of the No r th Carol i na coun t ies which have a common bo r de r with tha t county, 
even if the bo r de r s only tou c h at one point. No county may be included in a g r ouping of contiguous counties unless it is listed in t h e 
f ollow i ng table : 



County 




Hospice Inpatient 










i 


Alexander 


Ashe 




Haywood 


Poik 


f 




4 
2 


Kutnenoru 

T^... \ .. ..: 


1 lansylvania 


Watauga 


wUKes 


Yancey 


Alamance 


Davidson 


Rockingham 


Stokes 


Stirry 


2 
2 
3 


Cabai'ms 


Gaston 



< 



1943 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



County Hos p ice Inpa t ien t 

Bed Defici t 



T. -, -1 a ll 

ireueii 



Lincoln 



Rowan 
Stanly 
Union 



Cha t ham 



Du r ham 



Johns t on 

fcee 

waKc 

Vance 

Bladen 



B r unswick 



Columbu s 



Cumbe r land 



Ilamett 



Moore 



Pender 



Richmond 



Robeson 



Sco t land 

UCIllC 

C r av e n 
Du plin 



Edgecomb e 



Hertford 
iNasn 



Northampton 



Onslow 

Pitt 

Wilson 



4 
i 

4 

\ 

\ 
2 

+ 



74:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1944 



PROPOSED RULES 



Authority G.S. 13 IE- 176(25); 131E-177(1): 131E-183(b). 

Mil PSYCHIATRIC BED NEED DETERMINATION (REVIEW CATEGORY C) 

It is deteimined -t ha t t he r e is no n ee d fo r additional psychia t ric beds. 

Authority G.S. 131E-1 76(25); 131E-177(1); 131E-183(b). 

.3078 CHEMICAL DEPENDENCY TREATMENT BED (REVIEW CATEGORY C) 

(a) It is de t er m ined t hat t he r e is no need for any additional chemical dependency tr ea t men t beds o t he r t han d et ox-only beds fo r 
adul t s. Tlie following table lists t he m e n t al heal th planning a r eas tha t need d e tox-only beds fo r adul t s and iden t ifies t he numbe r of 
s uch b e ds needed in each p lanning area. TTie r e is no need fo r addi t ional de t ox-only beds fo r adul t s in any o t he r men t al heal t h plamiing 
a r eas. No o t h er re views fo r chemical de p endency tr ea t men t beds are scheduled . 











Mental Health Planning Areas 


Menial i icdiiii 


Number of Detox-Only 


//-> "^ i /-* i' \ 




r*l • n • 


Beds Needed 


(Constituent Counties) 


Planning Regions 






W 
W 


W 
W 


1 (Jackson, Haywood, Macon, x^hciukcc, y~^ia.y, vjiauaiu, jwauij 


4 (Transylvania, Henderson) 








w 
w 
w 


iQ 
id 


















w 

NC 
NC 

NC 
N€ 
N€ 

se 
se 
se 


2 

6 
2 

5 




Ij (suiiy, 1 aukm) 








1 / (Alamance, casweiij 




16 (urange, rerson, Lnatnam) 




20 (Vance, Granville, Franklin, 


Waiiui) 


II (Uaviusonj 




zj (KODCson, uiaacn, Scotland, 


COlUlUDUSJ 


zO (Jonnston) 




27 (Wake) 

T 1 ^AA^oi.ii..^ 




se 

E 
E 

E 
E 
E 
E 
E 
E 


26 

4 

ie 

€ 

4 
5 










1 il / T I.T 1 i fo 1, ■» 








35 (Craven, Jones, Pamlico, Caiicicij 


JO (Leuoii) 




j8 (iicntora, ueiiie, Ciates, rNoriiidiii|jiuii; 


jy (LJcauTOrt, Wasnington, lyrrcil, I lyac, Martin) 



1945 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



Me nt al Heal t h Planning A r eas 
(Cons t ituen t Cou nties) 



Men t al Heal t h Numbe r of De t ox-Only 
^Regions 



40 (Pasquo t ank, Chowan, P er quimans, Camd e n, Dare, Cur r i t uck) 

41 (Du p lin, Samps on) 



E 
E 



W 
W 



(b) "De t ox-only beds fo r adul t s" a r e chemical dependency tr ea t ment beds t ha t are occupied exclusively by pe r sons wh o a r e 1 8 yea r s 
o f age o r older who are expe r ienc i ng physiological withdrawal fi- om the e ff ec t s of alcohol o r o ther drugs . 

(c) The county o r coun t ies which comp r ise each mental heal t h planning a r ea are lis t ed in 10 NCAC 3R .30 5 4(b) . 

(d) Detox-only beds fo r adul t s may be develo p ed outside of t he mental heal t h plamiing area in which t hey a re needed i f: 

(i) The beds are develo p ed in a con t iguous men t al health planning area t ha t is wi t hin t he sam e men t al heal t h planning r egion, 

a s d efi n e d by 10 NCAC 3R .3054(c); and 
(2) Th e pr og r am boa r d in t he planning area in which t he beds are needed and t he p r og r am boa r d in the p lanning a r ea in wh ich 

th e beds a r e t o be d e veloped each adopt a r esolu t ion su p po rt ing the developmen t of t he beds in t he con t iguous p la n n i ng 

area: 

Authority G.S. 131E-176(25); I31E-177(I): 131E-183(b). 

.3079 INTERMEDIATE CARE BEDS FOR THE MENTALLY RETARDED NEED DETERMINATION 
(REVIEW CATEGORY C) 

In t ennedia t e Care Beds fo r t he Mentally Re t a r ded. I t is dete r mined tha t the m ental heal t h plamiing areas lis t ed in t he following 
t able need additional In t ermedia t e Ca r e Beds fo r t he Mentally Re t a r ded ("ICF/MRbeds"). Tlie table iden t ifies the numbe r of new 
chtW a nd adul t ICF/MR beds needed by each of the lis t ed p lanning areas. These new ICF/MR beds shall only be us e d t o conve rt 
exis t ing five-bed ICF/MR beds into six -bed facili t ies. Tlie addi t ion of t he six t h bed mus t r esul t in the r educ t ion o f " p e r clien t costs." 
The re is no need fo r n e w ICF/MR facilities o r fo r any addi t ional ICF/MR beds in any o t he r m e n t al health pla n ning a r eas, excep t as 
pr ovided i n Rule 10 NCAC 3R .3055(a)(8). 



IN ecu 



Men t al Heal t h Planning A r ea (Cons t ituen t Coun t ies) 



(■ nild Adult 



3 (Alleghany, Ashe, Ave r y, Watauga, Wilkes) 

14 ( F or sy t h, S t ok e s) 

16 (Guilford) 

21 (Davidson) 

1 8 (Orange, Person, Cha t ham) 

3 (Onslow) 

24 (Cumberland) 

37 (Pi t t) 



e 
e 
e 
e 
e 
e 
e 
e 



4 
2 
2 

-1- 



Authority G.S. 13 IE- 176(25); 1 31 E- 177(1); 13 IE- 183(b). 

.3080 POLICIES FOR GENERAL ACUTE CARE HOSPITALS 

(a) Us e of Lic e ns e d Bed Capaci t y Data fo r Planning Purpos e s. Fo r pla nni ng purpo ses t h e nu mb e r o f l ice nsed b e ds shall b e 
de t ermined by t h e Divisi o n of Facili t y S er vices in accordance wi t h s t andards found in 10 NCAC 3C .6200 and .3102(d) . 

(b) U t iliza t ion o f Acu t e Ca re Hospi t al Bed Capaci t y. Conversion of undem t ilized hospital spac e t o o t he r n ee ded p urpos e s shall 
b e consid er ed an al t erna t ive t o new cons tr uc t ion. Hospi t als falling bel o w u t iliza t i o n t arg et s in Paragraph ( e ) of t liis Rule are assum e d 
t o hav e und e m t ilized space. Any suc h ho sp i t al pro po sing n e w cons t ruc t ion mus t clearly d e monsti ' a te t ha t i t is mo re cos t - e ff e c t iv e 
t han conv e rsion o f e xis t ing spac e . 

(c) Ex e mp t ion fr o m Plan Provisions for C ert ain Academic M e dical C e n t e r Teaching Hospi t al Proj e c t s. — Pr oj ect s for which 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1946 



PROPOSED RULES 



c e rt i f ica t es of n ee d are sought by academic medical cente r t eaching hospitals may qualify fo r exe m p t ion fr om p rovisions of 1 NCAC 
3 R .3056 t hrough .3079. 

ft) The S t a t e Medical Facili t ies Planning Sec t ion shall designa t e as an A c ademic Medical Cen t er Teaching Hos p i t al a ny 
f a c ility whose applica t ion fo r such designa t ion demons tr a t es the following cha r acte r is t ics of t he hospital : 

(A) Se r v e s as a p r ima r y t eaching si t e fo r a school of medicine and a t leas t one othe r heal t h p r ofessional school, p r oviding 
unde r g r adua t e, g r adua t e and pos t g r adua t e educa t ion. 

(B) Ho use s ex t ensive basic medical science and clinical r esearch pr og r ams, p a t ients and equipmen t. 

(€) Se r ves t he t r ea t men t needs of pa t ients f r om a b r oad geog r aphic area tlirough mul t i p le medical s p ecial ti e s. 
(2) Exemp t ion f r om the provisio n s of 10 NCAC 3R .305 6 th r ough .3079 shall be g r an t ed t o pr ojects submi t ted by Academic 
M edical Cen t e r Teaching Hos p itals designa t ed prio r t o Janua r y 1, 1990 which pr ojects comply with one of the following 
c ondi t ions : 
(t^ Necessary t o com p lemen t a specified and app r oved ex p ansion of t he numbe r or t y p es of stud e n t s, r esiden t s o r 

faculty, as certified by the head of t he r elevan t associa t ed p r ofessio n al school; or 
(B) N e cessa r y t o accommodate pa t ien t s, staff o r equipmen t for a s p ecified and approved ex p ansion of r esea r ch activi t ies, 

as ce r tified by t he head of t he en tit y s p on s o ri ng t he r e s e ar ch; o r 
(€) Necessary t o accommodate changes in r equiremen t s of special t y education acc r edi t ing bodies, as evidenced by 
co p ies of documen t s issued by such bodies. 
(d) Reconve r sion t o Acute Care. Facilities r edis t ribu t ing beds fr om acute ca r e bed capacity t o r ehabilitation o r psychiatric use sha ll 
ob t ain a ce rt ifica t e of need to conve rt t h i s ca p aci t y back t o acu t e ca r e. A pp lica t ion fo r r e c onve r sion of a c u t e ca r e beds conve rt ed t o 
psychia tr y o r r ehabilitation back t o acu t e care beds shall be evaluated agains t t he hospital's u t iliza t ion in rela t ion t o the t arge t 
occu p ancies fo r acu t e care beds shown in th i s Pa r ag r a p h, withou t re ga r d to the acu te ca r e bed need deten i iina t i o ns shown in 1 NCAC 
3R.3057. 



Licensed Bed Ca p acity 

5^-99 
100- 199 

7ee-H 



(e) Re p lacemen t of Acute Care Bed Ca p ac it y. Th e evalua t ion of pr o p osal 




p artial o r t otal r eplacemen t of acute care beds 



(i.e., cons t ru ct ion of new space fo r existing acu t e ca r e beds) shall be evalua t ed agains t the utiliza t ion of t he to t al numbe r of acu t e ca r e 
b eds i n t he applican t 's hospital in r elation t o t he t arge t occupancy of die total numbe r of beds in t ha t hospital which is dete r mined as 
follows: 



To t al Licensed Acute Ca r e Beds 

C A Q Q 

100- 199 

200 - 699 

70e-H 



T a r ge t Occu p ancy (Pe r c e nt) 

rcn/ 
Oj70 

lo/o 

ID 70 
Qnn/_ 

81.5% 



Authority G.S. 131E-] 76(25); 131E-177(1); 131E-1 83(b). 



.3081 POLICIES FOR INPATIENT 

REHABILITATION SERVICES 

(a) Dis tr ibu t ion of Inpa t i e n t Rehabili t a t ion Beds. — T^fter .3082 
applying o t her requi re d c r i t e ri a, wh e n superiori t y among t wo or 
mor e c o mpe t ing re habili t a t ion facili t y c e rtifica t e of need 
applica t ions is unc ert ain, favorable consideration shall b e giv e n 
to p rop osals t ha t make rehabilita t ion s er vi ce s mo re ac ce ss ib l e t o 
p a t i e n t s and t h e ir families o r ar e p a rt of a c o mp r eh e nsiv e 
re gional r ehabili t a t i o n n et work. 

fb) Ou t pa t i e nt and Hom e Car e . R e habili t a t ion care which can 



Authority G.S. 131E-176(25): I31E-177(I); 13IE-183(b). 



b e pr ovided in an ou t pa t ien t o r hom e se tt ing shall be provided in 
t hes e se tt ings. — All n e w in p a t ien t re habilita t ion prog r ams are 
re quir e d t o pro vid e compr e h e nsive ou t pa t ien t rehabili t a t ion 
s er vic e s as part of their servic e deliv e iy programs. 



POLICIES FOR AMBULATORY SURGICAL 
FACILITIES 

Mul t i-Sp e cial t y Ambula t o r y Su r geiy. After a p plying o t he r 
re quired — cri t eria, — when — sup e riori t y among t wo — or m o re 
c o mpe t ing ambula t ory su r gical facili t y c ert ifica t e of need 
applica t i o ns is u n ceitain, favo r able considera t i o n shall b e giv e n 
t o "mul t i-sp ec ial t y progi ' ams" ov e r "special t y pr o g i' anis" in a re as 
wh er e n e ed is demons tr a t ed in 10 NCAC 3R .3059. A mul t i- 
sp e cial t y ambula t oiy surgical p r ogram m e ans a program 
providing se r vic e s in a t l e as t t hree of th e following ar e as : 
gyn e cology, ot olaryngology, plas ti c surgery, g e neral surgeiy, a 
oph t halmology, orthopedics, u ro logy, and o ral surgery. — An ^ 
ambulatoiy sui " gical facili t y shall p r ovid e a t least t wo designa te d 



1947 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



ope r a t ing rooms wi t h gene r al anes t hesia capabili ti es, and a t l e as t 
one designa t ed r ecove r y r oom. 

Authority G.S. 131E-176(25); 131E-177(1): 131E-183(b). 

.3083 POLICIES FOR NURSING CARE FACILITIES 

(a) Pr ovision of Hospi t al-Based Long-Te r m Nursing Ca r e. 
(+) A cer t ificate of need m ay be issued to a hos p ital 
which is licensed unde r G.S. 13 IE, Ar t icle 5, a n d 
whi c h mee t s t he condi t ions se t fortli in t his Parag r aph 
and in 10 NCAC 3R .1 100, to conve r t up to 10 beds 
f r om i t s licensed a cut e ca r e bed capacity for use as 
hospi t al-based long- t erm nursing care beds wi t hou t 
regard to determina t ions of need in 10 NCAC 3R 
.3072 if the hospital : 

(A) is loca t ed i n a county which was designa t ed as 
non-me tr o p oli t an — b y t he — fchS: — Office — of 
Managemen t and Budget on January 1, 1997; 
and 

(B) on January 1 , 1 997, had a licensed acu t e care 
bed capacity of 1 5 beds o r less. 

The ce rt ificate of need shall r emain in fo r ce as long as 
t he Depaitment of Human Resou r ces de t e rm ines tha t 
t he hos p ital is mee t ing t he condi t ions outlined in this 



(2) 



"Hos p i t al-based long- t emi nursing care" is defined as 
long- t e r m nu r sing care pr ovided to a p a t ien t who has 
b een di r ec t ly discharged fr om an acu t e care bed and 
canno t be i m mediately p laced in a licensed nursing 
facili t y because of the unavailabili t y of a be d 
a ppr o pr ia t e fo r t he individual's needs. De t e rmi nation 
of t he pa t ient's need fo r hos p ital -based long- t erm 
nursing care shall be made in acco r da n ce wi t h c r i t e r ia 
and p r oc e du r es for determining need for long- t e r m 
nursing cai ' e adminis t ered by the Division of Medical 



Assistance and t he — Medica r e 



-Beds 



program. 

developed unde r t his Pa r ag r a p h a r e in t ended to 
p rovide placemen t for r e sidents only when plac e m e n t 
in o t h e r long- t erm car e beds is unavailable in t he 
geog r aphic area. H o spi t als which develop beds under 
t his Paragraph shall discharge pa t ien t s to ot her 
nursing facili t ies wi t h availabl e beds in tli e geographic 
ar e a as soon as possible wher e appropria t e and 

permissible — under — applicable — law^ Necessaiy 

documen t a t i o n includ i ng co pi e s o f p hysician r e f e rral 
forms (FL 2) on all pa t ie nt s in hospital-based nursing 
uni t s shall b e made available fo r revi e w upon reques t 
by duly autlioriz e d repr e senta t iv e s of licens e d nursing 
facili t ies. 
(3) Fo r pur po s e s of this Pal ^ agl ^ aph, beds in hospital-bas e d 
long- t erm nursing caiT shall be certified as a "dis t inc t 
part" as d e fined by the Heal t h Care Financing 
Adminis ti a t ion. — Beds in a "dis t inc t part" shall be 
conv e rted f r om t h e exis t ing lic e ns e d bed c apaci t y o f 
t li e h o spi t al and shall n ot b e r e conv ert ed t o any o t he r 
ca te go r y or t y pe o f b e d wi t hou t a c ert ificat e of n ee d. 
An — applica t i o n — for — a — ce rt ificat e — of — need — for 



r econverting beds t o acu t e care shall be evalua t ed 
aga i ns t t he hos p i t al's se r vice needs u t ilizing target 
occupancies shown in 1 NCAC 3R ■3080(d), wi t hou t 
r egard t o t he acu t e ca r e bed need shown in 10 NCAC 
3R .3057. 

(4) A ce rt ifica t e of need issued fo r a hos p i t al-based long- 
t erm nul ^ sing ca re uni t shall r emain in fo r ce as long as 
t he following condi t ions are me t: 

(A) the beds shall be ce rt ified fo r pai t icipa t i o n in 
t he Ti t le XVIII (Medica r e) and Ti t le XIX 
(Medicaid) Prog r ams; 

(B) t he hospi t al discharges r esidents t o o t he r 
nui ' s i ng facili ti es in the geog r a p hic a r ea wi t h 
available — beds — when — strch — discha r g e — is 
appropriate and pe r missible unde r ap p licable 
law; 

(C) p a t ien t s admit t ed shall have been acutely ill 
inpa t ients of an acu t e hos p i t al o r i t s sa t elli t es 
im media t ely p r ec e ding placemen t in t he uni t . 
The g r an t ing of beds fo r hospi t al-based long- 
t e r m nu r sing care shall no t allow a hospital t o 
conve rt addi t ional beds withou t fir s t obtaining 
a certificate of need. Wlie r e any hospi t al, o r 
t he paren t corporation or en t i t y of such 
hos p i t al, any subsid i a r y cor p o r a t ion o r en t i t y of 
such hospi t al, o r any cor p o r ation or en t ity 
r ela t ed t o or affiliated with such hospi t al by 
common owne r shi p , con tr ol o r m anagemen t: 

ir) ap p lies fo r and r eceives a c e rtifi c a te of 
n eed fo r l o ng- t e r m care bed need 
de t e n nina t ions in 10 NCAC 3R .307 2 ; 
or 

(ii) cur r en t ly — has — nursing — home — beds 
l ice nsed as a p a rt of t he hos p i t al unde r 
G.S. 13IE, Ar t icle 5; o r 

(iii) cu rr en t ly o p e r a t es long-te r m care beds 
unde r t he Fede r al Swing Bed P r og r am 
(P.L. 96-499), such hospi t al shall no t b e 
e ligi ble t o a pp ly f o r a certifica t e of n e ed 
for — ho sp i t al-based — long-term — care 
nu r si ng b e ds und er t his Rule. Hospitals 
d e signa t ed by t he — State — of N ort h 
Ca r ol i na — as — Rural — Primaiy — Care 
Hos p i t als pu r sua nt t o S ec tion 1 820(f) of 
t h e Social Securi t y A ct , as am e nd e d, 
which hav e no t b ee n allocated long-term 
care beds und er p r ovisions of G.S. 
1 3 1 E- 1 75 t lir o ugh 13 1 E- 1 90, may ap p ly 
t o d e v e lo p beds u n de r this Parag r aph. 
Howeve r , — such — h o spi t als — shaH — not 
dev e lop l o ng-t er m cai 'e beds bo t h t o 
me et ne e ds d et e r min e d in 1 NCAC 3R 
■30 72 and t h i s Pa r agraph. 

(5) Beds certi f i e d as a "dis t inc t part" und e r t his Parag r aph 
shall be c o un t ed i n the inventoiy of e xis t ing luiig-l e nn 
car e b e ds and us e d in t he calcula t ion of unme t long- 
t erm care bed n ee d for t he gene r al po pula t i o n of a 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1948 



PROPOSED RULES 



pla n ning area. Applica t ions fo r ce rt i f icates of need 
pursuan t t o t his Parag r aph shall be acce pt ed only fo r 
the Feb r ua r y 1 review cycle. Beds awa r ded unde r t his 
Pa r ag r a p h shall be deducted f r om need dete r minations 
fo r t he coun t y as shown in 10 NCAC 3R .3072. 
Con t inua t ion of t his policy shall be r eviewed and 
app r oved b y t he Depai tn ien t of Hu m an Resources 
annually. Ce rt ifica t es of need issu e d unde r policies 
a nalogous t o this policy in Sta t e Medical Facili t ies 
Plans subsequen t to t he 1986 Sta t e Medical Facili t ies 
Pl a n are au t o m a t ically amended t o conform with the 
pr ovisions of t his Pa r ag r a p h. — The Department of 
Human Resources shall moni t o r t his p r og r am and 
ensure t ha t pa t ients affec t ed by this Parag r aph are 
r eceiving ap p ropria t e se r vices, and tha t conditions 
unde r wh ic h t he certificate of need was g r an t ed a re 
being me t . 
(b) Plan Exemp t ion fo r Continuing Ca r e Facili t ies. 
{¥) Qualified con t inuing ca r e facili t i e s may include f r om 
t he ou t se t , o r add o r conve rt bed capacity fo r long- 
term nm ^ sing care without regard to t he bed need 
shown in 10 NCAC 3R .3072. To qualify fo r such 
exem pt ion, applica t ions fo r ce rt ifica t es of need shall 
show t ha t t he p r o p osed long-term nursing bed 
c a p aci t y : 

(2^ Will only be deve lop ed concu rr en t ly with, o r 
subsequent t o cons tr uc t ion on the same site, of 
facili t ies fo r bo t h of t h e following levels of 
care: 

(i) mdependen t — Hvirtg — accommodations 

(apartmen t s and homes) fo r pe r sons who 

are able t o ca rr y ou t normal activi t ies of 

daily living withou t assis t ance; such 

accom m odations m ay be in the fo r m of 

apaitments, fla t s, houses, cottages, and 

r ooms wi t h i n a sui t able s tr uctu r e; 

fri) domiciliary ca r e (adul t ca r e) beds f or 

us e by p er sons who, b e caus e of ag e o r 

disabili t y — rcqurre — some — p e rsonal 

servic e s, inc i den t al m e dical se i' vices, 

an d roo m a nd b o a i-d t o assm ^ e t heir 

safe t y and comf ort . 

(B) Will be used e xclusively t o m e e t t he needs o f 

p er sons wi t h whom t he facili t y has con t inuing 

care — con tr ac t s — (in — c om pliance — with — the 

Departmen t of Insuranc e s t a t u te s and r ul e s) 

who have lived in a n o n-nursing uni t of t h e 

con t inuing care facili t y for a period of a t leas t 

30 days. — Excep t ions shall be all o wed when 

on e spous e o r sibling is ad mitte d t o t he nursing 

uni t at the t ime t h e o t h er s p ous e o r sibling 

mov e s in t o a non-nursing uni t , o r when t he 

m e dical condi t ion r e quiring nursing care was 

no t known t o e xis t or be imminen t when th e 

individual becam e a pai t y t o t he con t inuing 

car e contrac t . Financial cons id e ra t ion paid by 

persons purc h as i ng a c on ti n ui ng cai 'e co n ti' a ct 



m 



shall be equi t abl e b etwee n p e r sons en t e r ing a t 
the "inde p endent living" a n d "domicilia r y" 
levels of care. 

(C) Reflects t he numbe r of beds r equired to mee t 
the c urr en t or pr o j ec t ed needs of r esidents with 
whom t he facili t y has an ag r eemen t to p r ovide 
con t inuing care, af t e r making use of all feasible 
al t e r na t ives to i n sti t ut io n a l nu r sing care. 

(D) Will no t be ce rt ifi e d fo r p a rt ic ip a t ion in tli e 



One half of t he long- t erm nursing beds develo p ed 
unde r t his exemp t ion shall be excluded f r om the 
i nven t o r y used to p r ojec t bed need fo r the gene r al 
p opulation. Ce rt ifica t es of need issued unde r policies 
analogous to t his p olicy in S t a t e Medical Facili t ies 
Plans subsequent t o the 1 985 SMFP are automa t ically 



amended t o 



of t his 



confo r m wi t h the p r ovisions 
Pa r ag r aph. Ce rt ificates of need awa r ded p ursuan t t o 
t he p r ovisions of Cha p te r 920, Session Laws 1 983 , o r 
Chapter 445, Session Laws 1985 shall no t be 

(c) Determina t ion of Need fo r Addi ti o n al Nu r sing B e ds i n 
S i ngle P r ovide r Counties. Wlien a long- t erm care f acili t y with 
fewe r than 80 nu r sing ca r e beds is t h e only nursing care facili t y 
wi t h i n a county, it may a p ply fo r a ce rt ifica t e of need fo r 
addi t ional nursing beds in orde r t o b r ing t he minimum numbe r 
of beds available with i n the coun t y t o no more than 80 nu r sing 



beds withou t r egard t o the 



: bed need de t ermina t ion fo r 



r egard t o tne n u r sing 
th a t cou nt y as listed in 10 NCAC 3R .3072. 
(d) Relocation of Certain Nu r s i ng Facility Beds. 
(+^ A ce rt ificate of need t o r eloca t e exis t ing licensed 
nu r s i ng facility beds t o ano t he r coun t y(ies) may be 
i s s ued t o a facili t y l i censed as a nursing facili t y unde r 
G.S. 131C, Article 6, Part A, p r ovided tha t the 
condi t ions set forth in this Pa r ag r aph and in 10 NCAC 
3R .1100 and t he r eview c r ite r ia in G.S. 13 IE- 1 83(a) 
are me t . A facili t y a pp ly i ng fo r a ce rt ifica t e of need 
t o r elocate nursing facili t y beds shall demons t ra te 
that: 

(tV) it i s a non-profi t nursing facili t y support e d by 
and dir e c t ly affilia te d wi t h a pai l icular r e ligion 
and t ha t i t is t h e only nu r sing facili t y in North 
Carolina support e d by and affilia te d wi t h t ha t 
re ligio n ; 

(B) t he p r imary p u rp ose for t he nul ^ sing facili t y's 
e xis t enc e is to provide long-term c ar e t o 
followers of t h e sp e cified religion in an 
e nvLioiimen t — which — emphasizes — religious 
cus t oms, ceremonies, and prac t ic e s; 

(C) r e l o ca t ion of th e nursing facili t y beds t o on e o r 
more si te s is necessary t o more e ff e c t ively 
provide long-term nursing car e t o followe r s o f 
th e specifi e d religion in an envii - onm e n t which 
e mphasiz e s r e ligi o us customs, cer e monies, and 
practices; 

(B) t he nursing facili t y is expec te d t o serve 
followe r s of the sp e cified religion from a 



1949 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



mul t i-coun t y a r ea; and 
fE) th e needs of t he popula t ion p r esen t ly se r ved 
shall be me t adequa t ely p u r suan t t o G.S. 1 3 1 E- 

1 OJ. 

(2) Exemp t ion f r om t he p r ovisions of 1 NC AC 3R .3 072 
shall be g r an t ed t o a nu r sing facili t y fo r pu r poses o f 



: beds t o ano t he r 



(3) 



(B) 



(€) 



r eloca ti ng exis t ing licensed nu r sing 

coun t y pr ovided t ha t i t complies w it h all of t he cri t e r ia 

lis t ed in Subpa r ag r aph (d)(1) of t his Rul e . 

Any ce rt ifica t e of n eed issued unde r t his Rule shall be 

subjec t to t he following condi t ions : 

(t^ t he nu r sing facili t y shall r elocate beds in a t 
leas t t wo s t ages ove r a p e r iod of a t leas t six 
mon t hs; and 

t he nu r sing facili t y shall pr ovide a le tt e r t o t he 
Medical Facili t ies Li c ensure Sec t ion, on o r 
b e f o r e t he da t e t ha t t he fi r s t g r oup of beds a r e 
r eloca t ed, i rr evocably commi tt ing the facili t y to 
r eloca t e all of the nu r sing facility beds fo r 
which i t has a ce rt ifica t e of need t o r eloc at e ; 
and 

subsequen t t o p r oviding t he le tt e r t o t he 
Medical Facili t ies Licensu r e Section described 
in Sub p a rt (d)(3)(D) of t his Rule, t he nursing 
facili t y shall accep t no new p a t ien t s in the beds 
which a r e be i ng re loca t ed, excep t new pa t ien t s 
who, p rio r t o admission, indica t e t h e i r desi r e t o 
tr ansfe r t o the f acili t y's new loca t ion(s). 



Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.3084 POLICIES FOR HOME HEALTH SERVICES 

(a) Develo pm en t of Home Health Se r vices. Afte r applying 
o t he r r equired cri t eria, when supe r io r ity among two o r mo r e 
co mp e t ing home heal t h agency o r office ce rt ifica t e of need 
a pp lica t ions is uncertain, favo r able conside r a t ion shall be give n 
t o p r o p osals which : 

(-t) provide an expanded scope of sei^ices (including 
nu r sing, physical t herapy, speech t h e rapy, and hom e 
h e al t h aide se r vice); 

p r ovid e t h e wid e s t range of t r e a t men t s wi t hin a giv e n 
service; and 

hav e t h e abili t y t o o ffer servic e s on a s e v e n days pe r 
w ee k basis as r e quired to me et pa t i e n t ne e ds. 

(b) N ee d D et ermination Upon Te r mina t ion of ( 



m 



(5) 



Home H e al t h As 



Agency, wnen a nom e neal t n ag e n c y s 
di r ec t ors, o r i n t h e case of a public agen c y, the resp onsible 



g i ve p ublic no t ice of t he need fo r one home he a l t h agency or 
of f ice i n t he county, and t he da t es of t he r eview of a pp lica t ions 
t o m e e t t he need. — Such no t ice shall be given no less t han 4 5 
days prio r t o t he final da t e fo r r ecei pt of a pp lica t ions in a 
news p ape r se r ving t he coun t y and t o h om e heal t h agen c ies 
loca t ed ou t side the coun t y r e p orting se r ving county pa t ien t s in 
t he mos t r ecen t licensu r e a pp lica t ions on f ile. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.3085 POLICIES FOR END-STAGE RENAL DISEASE 
DIALYSIS SERVICES 

(a) Availability of Dialysis Ca r e. — After applying o t her 
r equired cri t eria, when su p eriori t y among t wo o r mo r e 
compe t ing dialysis facility o r s t a t ion ce rt ifica t e of need 
applications is unce rt ain, favo r able conside r a t ion shall be giv e n 
t o applican t s p r oposing t o pr ovide o r ar r ange fo r: 

iV) home tr a i ning and backup fo r pa t ien t s sui t able fo r 
home dialysis in t he ESRD dialysis f acili t y o r in a 
facili t y t ha t is a r easonable distance fr om the p a t ient's 
r esidence; 

(2) ESRD dialysis service availabili t y at t imes t hat do no t 
in t e r fe r e wi t h ESRD pa t ien t s' wo r k schedules; 

(3) se r vices in r u r al, remo t e areas. 

(b) Relocation of Dialysis S t a t ions. Reloca t ions of exis t ing 
di alysis s t a t ions a r e allowed only within t he hos t county and t o 
c o n t iguous coun t ies cu rr en t ly se r ved by the facility. Ce rt ifica t e 
of need a pp lican t s p r o p osing t o r eloca t e dialy s is s t a t ions shall : 

{Vf demonst r ate t hat the pr o p osal shall no t resul t in a 
defici t in t he numbe r of dialysis sta t ions in t h e c o un t y 
t hat would be losing s t a t ions as a r esul t of t he 
pr oposed project, as r eflec t ed in t he mos t recen t 
Semiannual Dialysis Re p o rt , and 

(2) demons tr a t e t ha t t he p r oposal shall no t r esul t in a 
sur p lus of dialysis s t a t ions in t he county t ha t would 
g a in s t a t ions as a r esul t of t he proposed projec t , as 
r eflec t ed in t he mos t r ecen t Se m iannual Dialysis 
Report. 

Authority G.S 131E-1 76(25); 131E-177(1); 131E-183(b). 



.3086 POLICIES FOR PSYCHIATRIC INPATIENT 
FACILITIES 

fa) T r ansf er o f B e ds fr om S t a te Psychia t ric H o spi t als t o 
Communi t y Facili t i e s. Beds in t h e S t ate psychiati ' ic hospi t als 



boa r d of us e d t o 



s er ve short-term psychia t ric p a t i e n t s may be r e loca te d t o 
communi t y facili t ies. 1 lowev er , b e fo r e b e ds ai 'e t ransfe rr ed ou t 



public body, vo te s t o discon t inue t he ag e ncy's p r ov i sion of ho me of t he S t a t e psychia tr ic hos p i t als 
h e al t h s e i " vices; and 

fH t h e agency is t h e only hom e heal t h ag e ncy w it h an 

offic e physically loca te d in t he coun t y; and 
(2) t h e ag e ncy is not b e ing lawfully ti ^ ansferred t o ano t h er 
entity; 



ic Hos p itals, appr o pria te s e i " vices and 
p r og r ams shall be availabl e i n t h e c o mmuni t y. — S t a te hospi t al 
b e ds which ai ' e r eloca t ed t o communi t y fa c ili t i e s shall b e clos e d 
wi t hin 90 days f o llowing t h e d ate the t ransfei r ed b e ds becom e 
oper a t ional in t he c o mmuni t y. Facili t i e s prop o sing t o o p er a te 
transfe r r e d b e ds shall c ommi t t o se r v e t h e t yp e uf sliuit-t e rm 



ne e d for a n e w h o m e h e al t h agency or o tt ic e in 
t h er eby es t ablished t hrough t his Rule. — F o ll o wing r ec e ip t of 
w r i tt en no t ic e of such decision from t h e home h e al t h ag e ncy's 
c hi e f adminis t ra t ive offic er , t he C e rtifi c a te of N e ed S e c t ion shall 



ffic e in t h e coun t y is p a tie nts n or mally p l aced a t t he S t a t e psychia tr i c hospi t als. To 



hdp- 



t ha t r e lo c a te d b e ds will serve t hos e p ersons who 



en su re t na t r e lo c a te d be ds win s e rve t nos e p e r 
would hav e b ee n s er v e d by t he S t a t e ps y c hi a t ric hospitals, a 
p r oposal t o ^ ■ ansfer beds from a S t a t e hospi t al shall includ e a 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1950 



PROPOSED RULES 



written — memo r andu m — of — ag r eement — be t ween — the — area 
MH/DD/SAS p r og i" am se r v i ng t he - county where t he beds are t o 



Sec t ion apply to ce rt ifica t e of need applica t i o ns fo r which the 
scheduled r eview p e r iod begins during calenda r year 1998. In 
be loca t ed, t he S e c r e t a r y of Human Resources, and the pe r son addi t ion. Rule . 6 10 6 of this Sec t ion shall be used t o im p lement 



s ubmi tt ing the pr oposal. 

(b) Alloca ti on of Psychia t ric Beds. A h o s p i t al submi tt ing a 
C e rt i f ica t e of Need ap p lica t ion t o add i np a t ien t psychia t ric beds 
shall conve rt excess licensed acu t e ca r e beds t o p sychia t ric beds. 
In determining excess licensed acu t e ca r e beds, t he h o s pita l s hall 



procedures d e scribed within it during calendar year 1998. ■ 

Authority G.S. 131E-176(25); 131E-177(1); 13 IE-] 83(b). 



subfrac t t he 



ave r age occu p ancy r a t e t o r i t s iicensea acu t e care 
b eds ove r the pre vious 1 2-month pe r iod f r om t he app r opria t e 



.6102 



The- 



CERTIFICATE OF NEED REVIEW 
CATEGORIES 



-and 



targett 



' r a t e fo r acu t e c ar e beds lis te d i n 10 NCAC 3R 



t occu p ancy i 

.3080(d) and multiply t he diffe r ence by t he nu m be r of i t s 
exis t ing licensed acu t e ca r e beds. 



agency has es t ablished 10 ca t egories of facili t ies 
se r vices for ce rt ifica t e of n eed r eview and shall determine the 
a ppr o p ria t e r eview ca t egory or ca t egories fo r all a p plications 
submi tt ed pursuan t t o 10 NCA C 3 R. 03 4. Fo r p r oposals which 

^the 



(c) Linkages Between Trea t men t Settings. — An applican t include more t han one c a t ego r y, the agency may r equ ir e 

applican t to submit se p a r a t e a pp lica t ions. If i t i s no t p r ac t ical t o 



applying fo r a ce rt ifica t e of need fo r p sychia t ric i n patien t facil it y 
beds shall document t ha t t he affected a r ea men t al health, 
develo pm ental disabili t ies and subs t ance abuse authori t ies have 
been contac t ed and invi t ed to commen t on the pr oposed services. 

Authority G.S. 131E-] 76(25); 13IE-I77(1): 13IE-I83(b). 

.3087 POLICIES FOR CHEMICAL DEPENDENCY 
TREATMENT FACILITIES 

Linkages Between Treatment Set t ings. An applican t applying 
fo r a ce rt ifica t e of n e e d fo r chemical de p endency tt eatmen t 
f acili t y beds shall docu m en t t ha t the affec t ed a r ea men t al health, 
develo p men t al disabili t ies and substance abuse autho r ities have 
been contacted and invi t ed t o commen t on t he pr o p os e d se r vices. 

Authority G.S. 13 IE- 176(25); 131E-177(1); 131E-183(b). 

.3088 POLICIES FOR INTERMEDIATE CARE 

FACILITIES FOR MENTALLY RETARDED 

(a) Determination of Intermedia t e Ca r e Bed Need fo r 
Mentally Re t a r ded/Develo p men t ally Disabled Pe r sons. Af t e r 
a pp ly i ng othe r r equired cri t eria, when su p e r io r i t y among two o r 
mo r e competing ICF/MR ce rt ifica t e of need a pp lica t ions is 



unce rt ain, favo r able conside r a t ion shall b e i 



1 t o c o u ntie s t ha t 



sidera t ion sna i l tie given i 
do no t have ICF/MR g i' oup h o m e s when such coun t i e s a r e p a rt 
o f a mul t i-c o un t y a re a fo r which a n e ed is sh o vni in 1 NCAC 

(b) Linkag e s Be t ween Tr e a t men t S ett ings. — An a pp li c an t 
a p plying for a c e rtifica te o f n ee d fo r in ter m e dia te c ar e facili t y 
b e ds for men t ally r e tar d e d shall d o cumen t t ha t t he affec t ed ar e a 
m e ntal h e al t h, d e velopm e n t al disabili t ies and subs t ance abus e 
au t h or iti e s hav e b e en con t ac t ed and invi t ed t o co m men t on the 
propos e d seiTices. 

Authority G.S 131E-1 76(25); 131E-177(1); 131E-183(b). 

SECTION .6100 - PLANNING POLICIES AND NEED 
DETERMINATION 

.6101 APPLICABILITY OF RULES RELATED TO 

THE 1998 STATE MEDICAL FACILITIES 
PLAN 

Rul e s .6101 tluough .6105 and . 6 107 t lirougli .6141 of t his 



submi t se p a r a t e applica t ions, the agency shall de t ermine in 

which ca t ego r y t he applica t ion will be r eviewed. Tlie r eview of 

an a pp lica t i o n fo r a ce rt ifica t e of need shall commence in t he 

next r eview schedule afte r the a p plica t ion has been de t e r mined 

to be c o m p lete. The 1 ca t egories of facili t ies and se r vices are: 

{\) Ca t ego r y A. — P r oposals submi tt ed by acu t e care 

hos p itals, — except — those — pr oposals — included — in 

Ca t egories B tlirough II and Catego r y J, includi n g bu t 

no t limi t ed t o t he following ty p es of p r ojects : 

r enova t ion, cons tr uc t ion, equ i pmen t , and acute care 

(2) Ca t ego r y B. — Proposals fo r nursing care beds; new 
con t inuing care facili t ies applying for exemption 
unde r 10 NCAC 3R .6134; and r eloca t ions of nu r s i ng 
care beds unde r 10 NCAC 3R .6136. 

(3) Ca t ego r y C. P r o p osals for new psychia t ric facilities; 
p sych i atric beds in exis t ing heal t h ca r e f acil it ies; new 
intermedia t e care facili t ies fo r the m entally r eta r ded 
(ICF/MR) and ICF/MR beds in existing heal t h ca r e 
f acili t ies; — new — subs t ance — abuse — and — chemical 
depe ndency tr ea t ment f acilities; su b s t ance abuse and 
chemical de p endency ttea t men t beds in exis t ing heal t h 
car e facili t i e s. 

(4) Ca te go r y D. P r oposals fo r new dialysis s t a t ions in 
r esp o nse to t h e "coun t y need" or "facili t y n e ed" 
me t h o dologi e s; and r e loca t ions of e xis t ing dialysis 
s t a t i o ns t o another coun t y. 

(5) Ca te go r y E. P r o p osals for new or e xpanded inpa t ien t 
rehabilita t ion facili t ies and inpa t i e n t rehabili t a t ion 



beds in o t h e r heal t h 



f a c il itie s; and new o r 



in o t n e r neai t n ca re 
e xpanded ambula t oiy su r gical f a c ili t ies e xcep t t hos e 
pr op osal s includ e d in Ca te goiy II. 

(6) Ca t ego r y F. P ro posals fo r new home health ag e ncie s 
or offices, n e w hos p ic e s, n e w hospi ce in p a t ien t 
facili t y b e ds, and new hospice residen t ial care facili t y 
Deas. 

(7) Ca te gory G. — Proposals fo r conversion of hospi t al 
beds t o nursing caiT und er 10 NCAC 3R .6133. 

(8) Ca te g oi y — H: Pr o posals — ftn — bone — mai -ro w 

tr ansplan tat ion s ei- vices, bum in te nsive ca r e s e rvic e s, a 
n e ona t al int e nsive car e s e rvic e s, o pe n heart surg er y V 
s er vic e s, solid or gan ttansplan t a t ion s e rvic e s, ai r 



1951 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



m 



ambulance equipment, cardiac angio p las t y equipmen t , 
c a r diac ca t he t eriza t ion equipmen t , hear t -lung by p ass 
m achines, gamma knives, li t ho tr ipto r s, magne t ic 
r esona nce — imaging — scanners, — p osit r on — emissio n 
t omography scanne r s, m a j o r medical equi p men t as 
defined in G.S. 131E-176(14f), diagnos t ic cen t e r s a s 
d efined in G .S. 1 3 1 E- 1 76(7a), and oncology tr ea t me nt 
cen t e r s as defined in G.S. 131E-17 6 (18a). 
C a t ego r y I. — P r oposals involving cos t over r uns; 
ex p ansions of exis t ing con t inuing care facili t ies vyh i c h 
a r e l i censed by the Department of Insu r ance a t t he 
da t e the application is filed and a r e a p plying unde r 
exe mpt ions from need de t e rm ina t ions in 10 NCAC 
3R .6121; reloca t ions wi t hin t he same coun t y o f 



t \f\\ 



exis t ing heal t h se r vice facili t ies, beds o r dialysis 
sta ti o n s which do no t involve an inc r ease i n t h e 
numbe r of heal t h se r vice facility beds o r s t a t ions; 
r ealloca t ion of beds o r se r vices; Ca t ego r y A pr o p osals 
submi tt ed by Academic Medical Cen t e r Teac hi ng 
Hos p i t als designa t ed p rio r t o Janua r y 1, — 1990; 
p r oposals submi tt ed pu r suan t t o — 10 NCAC 3R 
.6130(c) by Academic Medical Cen t e r Teac hin g 
Hospitals designa t ed p r ior to Janua r y 1, 1990; and any 
o the r prop osal no t included in Ca t egories A t h r ough 
H and Ca t ego r y J. 
Ca t ego r y J. P r oposals f or demons ti' a t ion pr ojec t s. 



Authority G.S. 131E-1 76(25); 131E-177(I); I31E-183(b). 



.61 03 CERTIFICATE OF NEED REVIEW SCHEDULE 

The agency has established the following r eview schedules fo r certifica t e of need ap p lica t ions. 
(V) Acu t e Ca r e Beds (in acco r dance with the n eed de t eniiina t ion in 10 . 



CON Beginning 



County 



uare 



July 1, 1998 



(2) Fixed Ca r diac Ca t heteriza t ion Equipmen t (in acco r dance wi t h need determina t ions in 10 NCAC 3R .6112) 



Hospital 



CON Beginning 
Review Date 



Moses II. Cone Memorial 

High Poin t Regional 

Cape Fear Valley Medical Cen t e r 



A p ril 1, 1998 
A p ril 1, 1998 

1 1 noft 
r7 lyyo 



(3) Radia t ion Oncol o gy Trea t ment Cen t ers (in accordance with the need determination in 10 NCAC 3R .6120) 



Radia t ion Oncology T re a t men t 
C e n t er S er vice A r ea 



CON Beginning 
R e vi e w Da t e 



9 (Caban - us, S t anly) 



Oc t ob er I, 1998 



(4) Nu r sing Care B e ds (in accordance wi t h need d et ennina t ions in 10 NCAC 3R .6121) 



Coun t y 



CON Beginning 
Revi e w Da t e 



Caswell 

Cabarrus 

Rowan 

Lee 

Cumberland 

Martin 



April 1, 1998 
Augus t 1, 1998 
April 1, 1998 
March 1, 1998 
Mdich 1, 1998 
S epte mb er 1, 1998 



(5) Home H e alth Ag ency O ffi c e s (in acc or danc e wi t h t he n ee d de t ermina t ion in 10 NCAC 3R .6123) 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1952 



PROPOSED RULES 



Coun t ies 



CON Beginning 
Review Date 



Cumbe r land, Hoke, 
Robeson o r Scotland 



May 1, 1998 



{€) De t ox-Only Beds (in acco r dance wi t h need de t ei i ninatio i is i n 10 NCAC 3R . 6 128 ) 



Men t al Heal t h Planning A reas 



CON Beginning 
Review Da t e 



\ — ( Che r ok e e, Clay, G r aham, Haywood, Jackson, Macon, Swain) 

4 — (Hende r son, T r ans y lvania) 

5 — (Alexande r , Bu r ke, Caldwell, McDowell) 

6 (Ru t h er fo r d, Polk) 

1 1 (Dav i e, I r edell, Rowan) 

13 (Suri y, Yadk i n) 

1 5 (Rockingham) 

1 7 (Alamance, Caswell) 

18 (O r ange, Pe r son, Chatha m ) 

20 (Vance, G r anville, F r anklin, Wa rr en) 

21 (Davidson) 

23 (Bladen, Columbus, Robeson, Sco t land) 

26 (Johns t on) 

27 (Wak e ) 

31 (Wayne) 

32 (Wilson, Greene) 

3 3 (Edg e comb e , Nas h) 

34 (Halifax) 

35 (Ca r te r et, C r aven, Jones, Pamlico) 

3 6 (Lenoi r ) 

38 (Be r tie, Gates, He r tfo r d, No rt hampton) 

39 (Beaufo r t, Hyde, Mar t in, Ty rr ell, Washington) 

40 (Camden, Chowan, Cu rr ituck, Da r e, Pasquo t ank, Pe r quimans) 

41 (Duplin, Sam pson) 



June 1, 1998 
June 1, 1998 
June 1, 1998 
June 1, lyvo 
June 1, 1998 
June 1, 1998 
June 1, 1998 
Ju n e 1, 19 9 8 
June 1, 1998 
June 1, 1998 



May 



May 



4998 
4998 



May 
May 1, 1998 
May 1, 1998 
M a y 1, 1998 
May 1, 1998 
4998 
4998 



May 

May 1, 1998 
4998 
4998 



May 
May 
May 1, 1998 
May 1, 1998 
May 1, 1998 



t^ In ter m e dia te Ca re Facili t y Beds fo r Men t ally Re t a r ded (in acc or danc e wi t h need d e terminations in 1 NCAC 3R .6129) 



M e n t al H e al th P la nning Ar eas 



CON U e gmnmg 
Revi e w Da t e 



8 — (Gas t on, Lincoln) 
10 (M e cklenburg) 
14 (Forsy t h, Stok e s) 
21 (Davidson) 
24 (Cumbe r land) 



June 1, 1998 
Junel, 1998 



June 1, 



+998 
+998 



June 1, 
May 1, 1998 
May 1, 1998 



(8) A p plica ti ons for c e i l iFica t es of need will b e r e view e d pu r suan t t o the following review schedule, unl e ss another sch e dule 
has b ee n specified in I te ms (1) t hr o ugh (7) of t his Rul e . 



CON B e ginning 
Review Da t e 



MSA 
1, 11,111 



TTO A 

rloA 

IV, V, VI 



1953 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 




Oc t obe r 1 
Novembe r 1 
Dece m be r 1 



A, E, G, I 

B. F, II. I 

e 

A, C, D, I 
i 

A.r,ii,i 



A, D, C, I, II 

Ari 
D, E, II, I, J 

At^v^ 



Authority G.S. 131E-1 76(25); 131E-177(1); 131E- 183(b). 

.6104 MULTI-COUNTY GROUPINGS 

(a) Heal t h Se r vice A r eas. The agency has assigned the count ie s of t h e st a t e t o t he following h ealt h se r vice a r eas fo r th e p u rp ose 
of scheduling a pp lica t ions f o r ce rti fica t es of need : 

HEALTH SERVICE AREAS (USA) 



H 



HI 



IV 



VI 



County 



Alexande r 



Alleghany 

A -1- - 

Asne 

Avery 

Buncombe 

uurKe 

Caldw el l 



Ca t awba 
Ch e rokee 




laywo o d 



I lend er s o n 



Jackson 



McDow e ll 



Macon 



Ma di s on 



Mi t chell 

T> -.11. 

rOlK 



Ru t h e rford 
Swain 



T r ansylvania 
Wa t auga 
wiiKes 
Yanc e y 



County 
Alamance 

/"* - , ru r zi ll 

D a vidson 

Davie 

Fo r syth 

Guilfo r d 

Randol p h 

Rockingham 

S t okes 

Surry 

Yadkin 



Ctjunty 

Cabar r us 
Gaston 

T,. -..-l -. il 

ireueii 

Lincoln 

Mecklenbu r g 

Rowan 

otaniy 

union 



County 

Cha t ham 
Du r ha m 
F r ankli n 
G r anville 




County 

Anson 

uiauen 

B r unswick 

Columbus 

C u m be r land 

Harnett 

T T - 1 - -, 

liOKe 

Mon t g o m er y 

Moore 

New I lanov er 

Pender 

Richmond 

Rob e son 

Sampson 

Scotland 



County 

B e aufo rt 
Bertie 
Camde n 
Ca rt e r e t 

C r aven 

Cu rr ituck 

L/arc 

Duplin 

Edg e comb e 

/~' - A . . 

uates 
Gr e en e 
Halifax 
H e rtford 

T T , , -1 ., 

liyac 
Jones 
L e n o ir 
Martin 

XT -, .-It 

rsasn 

N o rthamp t on 

Onslow 

Pamlico 

Pasquotank 

Perquiman s 

Pitt 

XlH 11 -.ill 

1 yueii 

Washing t on 

Wayne 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1954 



PROPOSED RULES 



Wilson 



(b) Mental Heal t h Pla n ning Areas. Tlie agency has assigned t he coun t ies of t he s t ate t o the following Mental Heal t h Planning ^ 
Areas fo r p u r poses of t h e State M e dical Fa c ili t ies Plan : ■ 

MENTAL HEALTH PLANNING AREAS 



Area Number C ons t ituent Coun t ies 



+ C he r oke e , Clay, G r aham, Haywood, Jackson, Macon, Swai n 

2 Buncombe, Madison, Mitch e ll, Yanc e y 

3 Alleghany, Ashe, Ave r y, Wa t auga, Wilkes 

4 Hende r son, Transylvania 

5 Alexande r , Bu r ke, Caldwell, McDowel l 

6 Ruthe r fo r d, Polk 

7 Clev e land 

8 Gaston, Lincoln 

\Q Mecklerrbtrrg 

L-1- Davie, I r edell, Rowan 

L2 Cabar r us, S t anly, Union 

« Su rr y, Yadki n 

+4 Fo r sy t h, S t okes 

L5 Rockingha m 

\6 Guilfo r d 

¥f Alamance, Caswell 

\% O r ange, Pe r son, Chatha m 

L9 Du r ham 

20 Vance, G r anville, F r anklin, War r en 

2L Davidson 

22 Anson, I loke, Mon t gome r y, Moore, Richmond 

23 Bladen, Columbus, Robeson, Sco t land 

24 Cumbe r land 

25 Le e , Ha r nett 

26 Joliiis t on 
zT waKe 

28 Rand o lph 

29 B r unswick, N e w Hanover, P e nder 
96 Onslow 

5+ Wayne 

32 Wilson, Gr ee ne 

33 Edgecombe, Nash 

34 Halifax 

35 Car te r et . Craven. Jon e s, Pamlico 

36 Lenoir 

37 Pitt 

38 Be rt ie, Ga t es, H ert ford, Nor t hamp t on 

39 Beaufo rt , Hyd e , Martin, Tyr r ell, Washing t on 

40 Camd e n, Ch o w a n, Cur r i t uck, Dar e , Pasquo t ank, Perquimans 
4+ Duplin, Sampson 



(c) Men t al H e al t h Planning Reg i o n s. Th e ag e ncy has assign e d t h e coun t i e s o f t h e s t a te to t he following M e n t al Heal t h A 

Planning Reg i ons for purposes of th e S t a te M e dical Facili t ies Plan : " 

MENTAL HEALTH PLANNING REGIONS (Area Number and Cons t i t u e n t Coun t ies) 



1955 NORTH CAROLINA REGISTER May 15, 2000 14:22 



PROPOSED RULES 



Wes t ern (W) 



\ Cherokee , Clay, G r aham, I laywood, Jackson, Macon, Swai n 



2 — Buncombe, Madison, Mi t chell, Yance y 



3 — Alleghany, Ashe, Ave r y, Wa t auga, Wilkes 



4 — He n de r son, Transylvania 



5 — Alexand er , Burke, Caldvyell, McDowell 
6 — Rothe 



Cleveland 
Gas t on, Lincoln 
Ca t awb a 



1 M e cklenburg 



H — Davie, I r edell, Rowan 



ti — Cabar r us, S t anly, Union 



Nor t h Cen tr al (NC) 



t3 — Sur t y, Yadkin 



M — Fo r syth, S t ok es 



¥5 — Rockingha m 
16 Guilfo r d 



1^ — Alamance, Caswell 

^8 — O r ange, Person, Cha t ham 

1 9 Du r ham 



20-~V ance, G r anville, F r ankl i n, Wa rr e n 



1 /g r^\ 
rtSfcl 



2i — Davidso n 



22 Anson, Hoke, Mon t gome r y, Moo r e, Richmond 



23 — Bladen, Columbus, Robeson, Sco t la n d 



24 — Cumbe r land 



25 — Lee, Harnett 



26 — Johnston 



27 Wake 



28 Rando l ph 



Eas t ern (E) 



29 — B r unswick, N e w Hanover, Pend er 
30 O n slow 



a — Wayn e 



32 — Wilson, Gre e n e 



33 — Edg e combe, Nash 



34 Halifax 



35 — Ca rt eret, Craven. J o n e s, Pamli c o 



36 — Lenoir 



37 Pitt 



38 — Berti e , Ga t es, Hertford, Northa mpt on 



39 — Beaufort, Hyde, Mai t in, Tyrrell, Washing ton 



40 — Camden, Chowan, Cu rr i t uck, Dar e , Pasquo t ank, P e rquimans 



4i — Duplin, Sampson 



(d) Radia t ion Onc o logy Trea t men t Cen t er Planning Ar e as. Th e ag e n c y has assigned t he coun t ies of t he s t a t e t o t he following 
Radia t ion Oncology Trea t m e n t Cen t e r Planning Areas for purposes of t h e S t a te M e d i cal Facili t i e s Plan: 

RADIATION ONCOLOGY TREATMENT CENTER PLANNING AREAS 

Ar e a Number Cons t i t uen t Coun t ies 



14:22 NORTH CAROLINA REGISTER May 15, 2000 1956 



PROPOSED RULES 



^- Cherokee, Clay, G r aham, Jackson, Macon, Swai n 

2 Buncombe, Haywood, Madison, McDowell, Mi t chell, Yancey 

3 Alleghany, Ashe, Ave r y, Wa t aug a 

4 Hende r son, Polk, T r ansylvania 

5 Alexande r , Burke, Caldwell, Catawba 

6 Ru t he r fo r d, Cleveland, Gas t on, L i ncol n 

7 Mecklenburg, Anson, Union 

8 Iredell, Rowan 

9 Cabar r us, S t anly 

W Fo r sy t h, Davidson, Davie, S t okes, Sur r y, Wilkes, Yadki n 

W Guilfo r d, Randol p h, Rocking h a m 

f2 Alamance, Cha t ham, O r ange 

f5 Du r ham, Caswell, G r anville, Pe r son, Vance, Wa rr e n 

f4 Moore, Hoke, Lee, Mon t gome r y, Richmond 

L5 Cu m be rl and, Bladen, Sampso n 

f6 Robeson, Sco t land 

¥f Wake, F ran klin, Ha r nett, Jo h ns t o n 

1-8 New I lanover, B r unswick, Columbus, Pende r 

\9 Wayne 

26 Nash, Halifax, Wilson 

2F C r aven, Car t e r e t , Onslow, Jones, Pamlico 

22 Lenoi r , Du p lin 

23 Pi t t, Beaufor t , Be r tie, Edgecombe, G r eene, He r tfo r d, Hyde, Ma rt in, Northamp t on, Washingto n 

24 Pasquo t ank, Camden, Chowan, Cu r rituck, Da r e, Gates, Pe r quimans, Ty rr ell 



(e) Ambulato r y Su r gical Facili t y Planning Areas. The agency has as s igned t h e c oun t ies of t he sta t e t o t he following Ambula t o r y 
Su r gical Facility Planning Areas fo r purposes of the S t ate Medical Facili t ies Plan : 

AMBULATORY SURGICAL FACILITY PLANNING AREAS 



A r ea Cons t ituent Counties 



\ Alamance 

2 Alexande r , I r edell 

3 Alleghany, Sur r y, Wilk e s 

4 Anson, Cl e v e land, Gas t on, Meckl e nburg, Unio n 

5 Ashe, Aveiy, Wa t auga 

6 Beaufo rt , Hyd e 

7 B ert i e , Ga t es, He rt ford 

9 B r unswick, Columbus, Duplin, New Hanov er , P ender 

W Bun c omb e , Haywood, Mad i s o n, M it c h ell, Y a n ce y 

+t Burke , McD o w e ll, Rutherford 

\2 Cabarms, Rowan, S t anly 

■1-3 Caldwell, Ca t awba, Lincoln 

i4 Camden, Curr it uck, Dare, Pasquo t ank, Perquimans 

+5 Ca rte r et , Craven, Jones, Onslow, Pamlic o 

\€ Caswell, Cha t ham, O r ang e 

Yf Chero k ee , Clay, G r aham, Jackson, Macon, Swai n 

+8 Ch o wan, Ty rr ell, W a sh i ng ton 

L9 Davidson, Davi e , Fo r sy t h, S t ok e s, Yadki n 

20 Durham, Granvill e , P er son 

2+ Edg e combe, Halifax, Nash, No rt hampton 



I 



1957 NORTH CAROLINA REGISTER May 15, 2000 14:22 



PROPOSED RULES 



22 Franklin, Harne tt , Johns t on, Wake 

23 Greene, Lenoii, Martin, ritt 

24 Guilford, Randol p h, Rockingham 

25 Henderson, Polk, T r ansylvania 

26 Hoke, Lee, Mon t gome r y, Moo r e, Riclimond, Sco t land 
2? Vance, War r en 

ro Wayne 

Z7 Wilson 



Authority G.S. 131E-176(25): 131E- 177(1); 131E-183(1). 

.6105 SERVICE AREAS AND PLANNING AREAS 

(a) An acute care bed's se r vic e area is t he acu t e ca r e bed 



(j) A hospice inpa t ie nt fa cil i t y be d 's s e r vice a r ea i s the 
hospice in p a t ien t facili t y b e d p lanning a r ea in which t he bed is 
p lanning a r ea in which t he bed is loca t ed. The acute ca re4jed l oca t ed. — Each of the 1 00 coun t ies in t he S t a t e is a sepa r ate 



p lanning a r eas are t he hos p i t al se r vice sys t ems which are defined 
as follows : 

{\) a g r ou p of hos p itals loca t ed i n the same ci t y, o r wi t hin 
10 miles of each othe r , o r i n the same county if one o r 
mo r e hos p i t als in t h e coun t y are under common 
owne r ship; o r 
(2) a single hos p i t al t ha t is no t included in one of t he 
g r ou p s of hospi t als desc r ibed in Subpa r ag rap h (a)(1) 
of t his Rule : 
(b) A r ehabili t a t ion bed's service a r ea is the r ehabili t a t ion bed 
p lanning area in which the bed is located. The r ehabili t a t ion bed 
p lanning areas are the heal t h service a r eas which are def i ned in 
10 NCAC3R .6104(a). 



hos p i c e in p a t ien t facility bed planning area. 

(k) A p sy c hi atr ic bed's se r vice a r ea is the p sychiat r ic bed 
p lanning a r ea in which t he bed is located. The p sychiat r ic bed 
p lanning areas are the Mental Health Planning Regio n s wh i ch 
are defined in 10 NCAC 3R .6104(c). 

fl) Wi t h the excep t ion of chemical dependency de t oxifica t ion- 
only beds, a chemical de p end e ncy tr eatmen t bed's se r vice area 
is the chemical dependency tr ea t men t bed p lanning a r ea in which 
t he bed is loca t ed. — The chemical de p endency tr ea t men t bed 
planning a r eas a r e t he Mental Health Planning Regions which 
a r e defined in 10 NCAC 3R .6104(c). 

(m) A c h emical de p endency detoxifica t ion-only bed's se r vic e 
area is t he chemical de p endency de t oxifica t ion-only bed 



(c) An ambulato r y surgical facili t y's se r vice area is t he planning a r ea in which t he bed is loca t ed. — The che m ical 



ambula t o r y surgical facility planning area in which the facility 

is lo c a t ed. The a mb ulato r y surgical facili t y pla n ning areas are 

t he m ul t i-coun t y g r ou p ings as defined in 1 NCAC 3R .6 1 04(e). 

(d) A r adia t ion oncology tr ea t ment cen t e r 's and linea r 



dependency de t oxifica t ion-only bed planning areas a r e t he 
M e n t al 1 leal t h Pl a nning Areas which are defined in 1 NCAC 
3 R .6104(b). 
(n) An in t e r mediate care bed fo r t he mentally r e t a r ded's 



accele r ato r 's se r vice a r ea is the r adia t ion oncology tr eatment se r vice a r ea is the in t e r media t e care bed for the men t ally retarded 

cen t e r and linea r accele r a t o r planning a r ea in which t he facility p lanning area in which the bed is located. The intermedia t e care 

is loca t ed. The r adia t ion oncology tr eatment cen ter and linea r bed fo r t he mentally r etarded p lanning a r eas a r e t he Men t al 

accele r ato r pl anning a r eas are t he mul t i-county g r oupings as Health Planning Areas which are d efined in 10 NCAC 3R 

de f ined in 10 NCAC 3R .6104(d). .6104(b). 

(e) A nursing car e b e d's servic e ar e a is t h e nursing car e b e d 

planning ar e a in which t h e bed is loca t ed. Each of t h e 100 Authority G.S. 131E-176(25); 131E-177(I); 131E-183(1). 
coun t i e s in t he Sta te is a s ep a r a t e nursing ca re bed planning ar e a. 



(f) The s ei vice a r ea fo r t h e demons tr a t ion p r oject t o e s t ablish 



a nursi 



-the 



sing c a re t acili t y t o r deaf and ha r d o t hearing is 
d e m o ns t ra t ion projec t planning ar e a. The d e mons t ra t ion pr o jec t 
p lanning a re a c onsis t s of all 100 coun t i e s of t h e S t a t e. 

(g) A home heal t h ag e ncy office's s e rvic e ai ' ea is t h e home 
h e al t h agency offic e plamiing a r ea in which t he o ffice is loca t ed. 
Each of t h e 1 00 coun t i e s in the S t a te is a s ep ai ' a t e hom e heal t h 
ag e ncy offic e planning area, exce pt t ha t Cumbe r land, Hok e , 
R o b e son and Sco t land Coun t i e s cons t i t u te a singl e mul t icoun t y 
planning a r ea. 

(h) A dialysis s t a t ion's s ei v i c e a re a is t h e dialysis s t a t ion 
p lanning a re a in which t he dialysis sta t ion is loca te d. Each of the 
100 coun t i e s i n th e S t a te is a separate dialysis s t a t io n plann i ng 
area. 

(i) A hospic e 's seivice ar e a is t he h o spic e planning a r ea in 
which the hospic e is lo c a te d. Each o f t h e 100 coun t ies in t he 
Sta t e is a s ep ara te hos p ice planning ar e a. 



.61 06 REALLOCATIONS AND ADJUSTMENTS 

(a) REALLOCATIONS. 

{¥) R e alloca t ions shall b e mad e only t o t he ex te n t t ha t 

ne ed determinations in 10 NCAC 3R .6107 t hrough 

.6129 indica te t ha t ne e d e xists a fter t he i nv en tories ai ' e 

revised and t he need determina t ions a re rec alcula t ed. 

(2) Beds or services which ar e re alloca te d o nce in 
acc o rdance w it h t his Rul e shall no t b e realloca t ed 
again. Rathe r , t he M e dical Facil itie s Planning S e c t ion 
shall mak e any necessary ch ang e s in t he n e x t annual 
Sta te Medical Fac il i t i e s Plan. 

(3) Dialysis sta t ions t ha t a re wi t hdi ' awn, relinquished, no t 
a pp li e d f o r, dec e rti f i e d, d e nied, app e aled, or pending 
t he e xpi r a t ion of t he 30 day app e al pe r iod shall not b e 
re all oc a te d. In ste ad, any n e cessary re d eter mina t ion of 
nee d s h all b e m ade in t h e ne x t schedul e d publi c a t ion 
of the Semiannual Dialysis Repo rt . 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1958 



PROPOSED RULES 



(4) A pp eals of Ce rt ifica t e — of Need — De c isio ns — on 
A pp lica t io ns^ — Need de t ermina t ions of beds o r 
se r vices fo r which t he CON Sec t ion decision has been 
a pp ealed shall no t b e r ealloca t ed un t il the a pp eal is 
r esol v ed. 

(A) T^ppe als Resolved P r io r to Augus t 17 : If an 
appeal is resolved in the calendar year p rio r t o 
Augus t 17, t he beds o r se r vi ce s shall no t be 
r eall o c at ed by t he CON Sec t ion; r a t he r th e 
Medical Facili t ies Pla n ning Sec t ion shall make 
t he necessa r y changes in the next annual Sta t e 
Medical Facili t ies Plan, exce pt fo r dialysis 
s t a t ions which shall be pr ocessed pu r suan t t o 
Sub p a r ag r a p h (a)(3) of t his Rule. 

(B) A p peals Resolved on o r Af t e r Augus t 17 : If 
t he appeal is resolv e d on o r a ft e r Augus t 1 7 in 
t he calenda r yea r , t he beds o r services, exce pt 
fo r dialy s is s t a t ions, shall be m ade availab l e fo r 
a r eview period to be de t ermined by the CON 
Sec t ion, bu t beginning no e ar lie r than 6 day s 
fro m the da t e tha t t he appeal is r esolved. 
No t ice shall be mailed by t he Certifica t e of 
Need Section t o all p e r sons on t he mailing li st 
fo r t he Sta t e Me d ical F ac ilitie s P lan, no less 
than 45 days prio r to t he due da t e for receip t of 
new applica t ions. 

(5) Withdrawals and Re li nquisl nn en t s. Exce p t fo r 

dialysis sta t ions, a need de t ermina t ion for which a 
ce rt ificate of need is i ssued, bu t is subsequently 
w ithd r awn o r r elinquished, is available fo r a r eview 
p e r iod t o be determined by t he Ce rt ificate of Need 
Sec t ion, bu t beginning no ea r lie r t han 60 days fr om : 
{h) t he las t da t e on which an a pp eal of t he no t ice 

of intent t o wi t hd r aw the ce rt ificate could be 
fil e d if no a pp eal i s filed, 

(B) the da t e on which an a pp eal of the wi t hdrawal 
is finally resolved aga i nst t he holde r , o r 

(C) t h e da t e tha t t he Certifica t e o f Need Sec t ion 
rec e ives fr o m t he hold er o f t he c e rtifica t e of 
ne e d no t ice t ha t t he c e rtifica t e has been 
volun t a r ily re linquish e d. 

No t ice o f t he sch e dul e d r evi e w pe r iod for t h e 
re alloca t ed sei " vic e 5 o r b e ds shall b e m ailed by t h e 



C e rtifica te of N ee d S e c t ion t o all 



-the 



pe rsons on 

m a i ling list fo r t h e Sta t e M e dical Facili t ies Plan, no 
l e ss t han 45 days prior t o th e due da t e for submi tt al o f 
t h e n e w applica t ions. 
(6) N ee d De te rmina t i o ns fo r which No Applica t ions ai 'e 
R e c e ived. 

fA) S er vic e s o r B e ds wi t h Scheduled Revi e w in t h e 
Cal e ndar Y e ar on or B e fore Sep t ember 1 : Th e 
Certificate of Need S e c t ion shall no t realloca te 
t h e s er vices o r b e ds i n thi s c a te g or y f or w h ich 
no applica t ions w ere r e c eiv e d, be c ause t h e 
Medical Facili t i e s Planning S e c t ion will hav e 
suf fi ci e n t t im e t o mak e any n e c e ssary chang e s 
in t h e de t ermina t ions of n ee d fo r t h e s e se r vic e s 
o r b e ds in t h e nex t amiual S t a te M e dical 



Facili t ies Plan, exc ept fo r dialy s is sta t ions. 
(B) Se r vices o r Beds wi t h Scheduled Review in tlie 
Calendar Year Afte r Se pt embe r 1 : Exce p t for 
dialysis s t a t ions, a need de t ermina t ion in t his 
ca t ego r y fo r which iio a p plication has been 
received by the last due da t e fo r submi t tal of 
applica t ions shall be available t o be a p plied fo r 
in t he second Ca t ego r y I review peri o d in t he 
nex t calenda r ye ar fo r the a p plicable USA. 
No t ice of t he scheduled r eview p eriod fo r the 
re allocated beds o r se r vices shall be mailed by 
t he Certifica t e of Need Sec t ion t o all persons 
on the mailing lis t fo r t he S t a t e Medical 
Facili t ies Plan, no l e ss t han 45 days prio r t o t he 
due date fo r submi tt al of new applications. 

(7) N ee d — De t e n nina t ions — not — Awarded — because 
A pp lication Disapp r oved. 

tA) Disapproval in t he Calenda r Yea r p r ior to 
Augus t 1 7 : Need dete rm ina t ions o r p o rt ions of 
such — ireed — for — which — ap p lica t ions — were 
submi tt ed bu t disap pr oved by t he Ce rt ifica t e of 
N ee d Sec t ion befo r e August 1 7, shall not be 
r ealloca t ed b y t he Ce rt ifica t e of Need Sec t ion. 
Ins t ead the Medical Facili t ies Planning Section 
shall make t he necessa r y changes in the nex t 
a n nual Sta t e Medical Facili t ies Plan i f no 
appeal is fil ed; except fo r dialysis sta t ions. 

(B) Disapp r oval i n t he Calend ar Yea r on or Afte r 
Augus t 1 7: Need de t e r mi n a t ions o r p o rt ions o f 
such — need — for — which — a pp lica t ions — were 
sub m it t ed bu t disapproved by t he Ce rt ificate of 
Need Section on o r afte r Augus t 1 7, shall be 
reall ocated by t he Ce rt ificate of Neec 
exce pt fo r dialysi s s t atio n s. — A need in t his 
ca t ego r y shall be available for a review pe ri od 
to be determined by the Certifica t e of Need 
Sec t ion but beginning no earlie r t han 95 days 
fr o m t h e da te t h e applica t ion was disa p p r ov e d, 
i f no a pp eal is fi l e d. No t ic e o f the scheduled 
re vi e w p er iod fo r t he r e allo c a t ion shall be 
mail e d by t he Ce rt ifica t e of N ee d Sec t ion t o all 
persons on t he mailing lis t for t h e Sta te 
M e dical F acili t i e s Plan, no less t han 80 days 
prio r t o t h e du e da t e for submi t tal of t he n e w 
applica t ions. 

(8) Realloca t ion of D e certified ICF/MR Beds. If an 
I CF/MR — facility ' s — Medicaid — c e rtifica t ion — ts 
re linquish e d or revoked, t h e ICF/MR b e ds in t h e 
facili t y shall b e r e alloca te d by t he Departmen t of 
Heal t h and Human Se r vic e s, Division of Facili t y 
S er vices, Medical Facili t ies Planning S ect ion pursuan t 
t o t h e provisions of t he following Pai i s. — The 
r e alloca te d b e ds shall only be used t o convert fiv e -b e d 
I CF/MR f acili t ies in t o six-bed facili t i e s. 

(t^ If the nu mbe r of five-b e d ICF/MR facili t ies in 
the menta l h e al t h planning regi o n in which t h e 
b e ds a re l oca te d equals or e xc ee ds t he number 
of realloca t ed — beds, — the — beds — shaH — be 



1959 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



r ealloca t ed solely witliin t he plan n ing region a ft e r conside r ing 
t he r ecommenda t ion of the Regional Team of Developmental 
Disabili t ies Se r vices Di r ec t o r s. 

(B) If t he numbe r of Five-bed ICF/MR facili t ies in 
t he mental heal t h planning region i n which t he 
beds are loca t ed is less t han the nu m be r of 
r ealloca t ed — beds, — the — Medical — Fa c ili t ies 
Pl a nning Sec t ion shall r ealloca t e the excess 
beds — to — other — planning — r egions — after 
co n side r ing — the — recommenda t ion — of — the 
Develo p mental Disabili t ies Sec t ion in the 
Div i sion of Men t al Health, Develo p men t al 
Di s abili t ies, and Subs t ance Abuse Se r vices. 
T h e Medical Facili t ies Planning Section shall 
then alloca t e the beds among the planning areas 
wi t hin t hose p lann i ng regions afte r considering 
the — r ecommenda t ion — of — the — app r op r ia t e 
Regional Teams of Developmental Disabilities 
Se r vices Di r ec t o r s. 

fQ The — Depa rt men t — of Health — and — Hunian 
Se r vices, — Divisio n — of — Facili t y — S er vices, 
Ce r tifica t e of Need Section shall schedule 
r eviews ofapplica t ions fo r these beds pu r sua nt 
t o Sub p a r agraph (a)(5) of this Rule. 
(b) CHANGES IN NEED DETERMINATIONS. 
(i) The need detennina t ions in 10 NCAC 3R .6107 

t ltrough — . 6 129 — shaH — be — revised — con t inuously 

tliroughout th e calenda r yeai " t o reflect all changes in 

t he inven t o r ies of : 

(A) t he health se r vices — listed at G.S. — I3IE- 



(B) 
(€) 
(©) 
(E) 

(F) 



heal t h se r vice facili t ies; 

health se r vice facili t y beds ; 

dialysis s t ations; 

t he equipmen t lis t ed a t G.S. I31E-176(16)fl; 

and 

mobile medical equipment; 
as t h o se changes are r e por t ed t o t he Medical Facili t i e s 
Planning S e c t ion. Howev e r, need detenninations in 
10 NCAC 3R .6107 t lii ' ough .6129 shall no t be 
r educed if t he r elevan t inven t ory is adjus t ed upward 
30 days or l e ss prior t o t he firs t day of t he a p plicabl e 
re view peri o d. 
(2) Inv e n t o r ies shall be upda t ed t o r e flec t : 

(A) d e c ert ifica t ion of hom e h e al t h ag e nci e s o r 
offices, in t erm e dia t e care facili t ies for t h e 
men t ally retard e d, and dialysis st a t ions; 

(B) d e licensure of health se i Tic e f acili t i e s and 
heal t h s er vice facili t y b e ds; 

(C) demolition, d e stinc t i o n, or decommission i ng of 
e qui p m e n t as lis t ed a t G.S. I31E-176(I6)fl 
and s; 

(B) e limina t ion or re duc t ion of a h e alth servic e as 

list e d at G.S. 131E-176(16)f; 
(E) psychia t ric beds lic e nsed pursuan t t o G.S. 

13 lE-1 84(c); 
i¥) certificates of ne e d awa r ded, re linquish e d, o r 

wi t hdrawn, subsequ e n t t o the p re pa r a t ion of 



t he inve nt o r ie s i n t he S t a t e Medical Facili t ies 
Plan; and 
(G) co rr ec t ions of e rr o r s in t he invento r y as 
r epo rt ed t o t he Medical Facili t i e s Planning 
Sec t ion. 

(3) Any p erson who is in t eres t ed in a p ply i ng fo r a new 
ins t itu t ional — health — service — for — which — a — need 
determination is made i n 10 NCAC 3R . 6 107 t lirough 
.6129 — may — obtain — information — abotrt — u p da t ed 
inven t ories and need determina t ions f r om t he Medical 
Facilities Planning Sec t ion. 

(4) Need determinations resulting f r om changes in 
invento r y shall be availabl e fo r a r eview pe r iod t o be 
determined by t he Ce rt ifica t e of Need S e c t ion, bu t 
be ginning no eai " lie r t han 60 days fr om t h e da t e of the 
ac t ion id e n t ified in Parag r aph (b) of t his Rule, exce p t 
fo r dialysis s t a t ions whi c h shall be de t e n nined by tlie 
M e dial Facili t ies Pla n n i ng Sec t i o n and p ublished i n 
t h e next S e miannual Dialysis Re p ort. No t ice of the 
sch e duled r eview p e r iod fo r the need de t e r mina t ion 
shall be mailed by the Ce rt i fi ca t e of Need Sec t ion to 
all p e r sons on the mailing lis t fo r t he S t a t e Medical 
Facilities Plan, no less t han 45 days p r io r t o t he due 
da t e for submittal of the new ap p lications. 

Authority G.S. 131 £-176(25); 13 IE- 177(1); 131E-183(b). 

.6107 ACUTE CARE BED NEED DETERMINATION 
(REVIEW CATEGORY A) 

I t is de t e rmi ned t hat a ne e d exis t s in Da r e Coun t y fo r one 
acu t e ca r e hospital of not mo r e t han 30 acu te c a r e beds. I t is 
dete r mined that no need exis t s in any o t he r county fo r addi t ional 
acu t e care beds. 



Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.6108 REHABILITATION BED NEED 

DETERMINATION (REVIEW CATEGORY E) 

I t is de te rmined t ha t there is no n ee d for additional 
r ehabili t a t i o n beds. 

Authority G.S 131E-176(25); 131E-177(1); 131E-1 83(b). 

.6109 AMBULATORY SURGICAL FACILITIES 

NEED DETERMINATION (REVIEW 
CATEGORY E) 

I t is determined t ha t t he r e is no ne e d fo r addi t io n al am b ula t o i y 
su r gical facili t ies, excep t tha t a Ru r al P r ima r y Ca re H o spital 
designa t ed by t h e N.C. Offic e of Ru r al H e al t h Se i Tic e s pursuan t 
t o Sec t ion 1 820(f) of t he Social S e curi t y Ac t may a p ply for a 
certifica t e of need to convert e xis t ing ope r a t ing rooms for use as 
a li cens ed ambula t o r y su r gical facili t y. 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.6110 OPEN HEART SURGERY SERVICES NEED 

DETERMINATIONS (RE VIE W CATEGORY H) 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1960 



PROPOSED RULES 



It is d et e r mined tha t t he r e is no need fo r addi t ional o p en hea rt 
su r ge r y se r vices. 

Authority G.S. 131E-176(25); 131E-177(1); 13 IE- 183(b). 

.61 1 1 HEART-LUNG BYPASS MACHINES NEED 

DETERMINATION (REVIEW CATEGORY H) 

It is determined tha t t he r e is no need fo r addi t ional hea r t-lung 
b y p ass mach i ne s. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-1 83(b). 

.6112 FIXED CARDIAC CATHETERIZATION 
EQUIPMENT AND FIXED CARDIAC 
ANGIOPLASTY EQUIPMENT NEED 
DETERMINATION (REVIEW CATEGORY H) 

Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.6113 MOBILE CARDIAC CATHETERIZATION 
EQUIPMENT AND MOBILE CARDIAC 
ANGIOPLASTY EQUIPMENT NEED 
DETERMINATION (REVIEW CATEGORY H) 

There — is — no — need — for — any — additional — mobik — cardiac 
cat he t e r iza t ion equ ip men t o r any addi t ional mobile cardiac 
angio p lasty equip m e nt . 

Authority G.S 131E- 176(25); 131E-177(1); 131E-183(b). 

.6114 BURN INTENSIVE CARE SERVICES NEED 

DETERMINATION (REVIEW CATEGORY H) 

I t i s dete r mined tha t t h er e is no need fo r additional bum 
i n t ensive care se r vices ; 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.61 15 POSITRON EMISSION TOMOGRAPHY 

SCANNERS NEED DETERMINATION 
(REVIEW CATEGORY H) 

I t is d eter mined t ha t t he r e is no need for addi t ional posi tr on 
e mission t omography scanners f o r puiposes ot her t han r esearch. 



Authority G.S 131E-1 76(25); 131E-177(1); 131E-183(b). 

.6116 BONE MARROW TRANSPLANTATION 

SERVICES NEED DETERMINATION 
(REVIEW CATEGORY H) 

I t is de t ermined t ha t t he r e is no need for addi t ional allogeneic 
or au t ologous bone mar r ow t ransplan t a t ion se r vices. 

Authority G.S 1 3 IE- 176(25); 131E-I77(1); 131E-] 83(b). 

.6117 SOLID ORGAN TRANSPLANTATION 
SERVICES NEED DETERMINATION 
(REVIEW CATEGORY H) 

I t is dete r mined tha t t he r e is no need fo r new solid o r gan 
tr ans p lant se r vices. 

Authority G.S 13 IE- 176(25); 131E-177(1); 13 IE- 183(b). 

.6118 GAMMA KNIFE NEED DETERMINATION 
(REVIEW CATEGORY H) 

I t is dete r mined t hat t he r e is no need fo r a gamma knife. 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.6119 LITHOTRIPTER NEED DETERMINATION 
(REVIEW CATEGORY H) 

I t is de t e r mined t ha t the r e is no need for additional 
litho tr ip t ers. 

Authority G.S 131E- 176(25); 13 IE- 177(1); 131E-1 83(b). 

.61 20 RADIATION ONCOLOGY TREATMENT 

CENTERS NEED DETERMINATION (REVIEW 
CATEGORY H) 

It is determined t ha t t he r e is a need fo r one a ddi t i on al 
Radia t ion Oncology T r ea t men t Cen t er in Cabarrus Coun t y o r 
Stanly County. 

Authority G.S 13 IE- 176(25); 13 IE- 177(1); 131E-I83(b). 



.6121 NURSING CARE BED NEED DETERMINATION (REVIEW CATEGORY B) 

I t is de t e r m i ned t ha t t h e coun t i e s lis t ed in t his Rule need addi t ional N ursi ng Cal ^ e Beds as specifi e d. Th er e is no n ee d for addi t ional 
Nu r sing Cai ' e Beds in o t he r coun t ies, excep t as o t he r wise provided in 10 NCAC 3R .61 22. 





Tt 1 rxi ^ 


Number ot Nursmg Care 


County 






26 

=m 

96 
46 
96 

26 


Caswell 


CabaiTus 


fcce 


Cumberland 


Martin 



Authority G.S 131E-176(25); 13 IE- 177(1); 131E-183(b). 



1961 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



Mil DEMONSTRATION PROJECT TO ESTABLISH A NURSING CARE FACILITY FOR PERSONS 
WHO ARE DEAF OR HARD OF HEARING (REVIEW CATEGORY J) 

(a) It is d etei'i nined tha t 90 nurs i ng ca r e beds are needed fo r a d e mons tr a t ion p r ojec t t o establish one new nurs in g ca r e facili t y for 
p e r sons who are deaf o r ha r d of hearing. 

(b) The p r ojec t may be developed in any coun t y in tlie sta t e . 

(c) The nursing care beds in t his demons tr a t ion projec t shall no t be coun t ed in t he nu r s i ng ca r e bed inven t o r y fo r t he county in 
which t he facili t y is develo p ed. 

(d) Admissio n s t o t he nu r sing ca re facili t y shall be r es t ric t ed t o p e r sons who are deaf o r hard of hearing. "Ha r d of hearing" is 
defined fo r pu rp os e s of t he demons tr a t ion projec t as persons with 60 decibel p ure t one ave r age in t he be tt e r e ar unaided and with a 
hearing impaij - men t of suf f icien t deg re e t o in t erfere wi t h normal communica t ion, as de f ined by s p eech recep t ion th r esh o lds. Hearing 
assessmen t s used fo r sc r ee n ing admissions m ust be performed by a ce rt ified audiologis t. 

(e) The demons tr a t ion p r oje ct shall p r ovide data t o evaluate t he effec t iveness of this t ype of p r og r am, includ i ng an a n nual r epo rt 
t o t he Long-Te r m Ca r e Commi tt ee and t o t h e Division of Se r vices fo r the Deaf andthe Ha r d of Hea ri ng with r ega i' d t o a t leas t the 
followi n g me a su r es : 

(+) Occu p ancy Ra t e; 

(2) U t iliza t ion by Pe r cen t age of Pe r sons who are Deaf and by Pe r centage o f Pe r sons who a r e Ha r d of I t e a ri ng; 

(3) Pa t ien t Origin Data; 

(4) Cost Da t a, p a rt icula r ly with r egard t o ancillary communica t i o n s er vices and tr aining; and 
{5) Consume r Sa t is f ac t ion, including r at i ngs fr om pa t ien t s and family membe r s . 

Authority G.S. 131E-] 76(25); I31E-177(l); I31E-183(b). 

.6123 HOME HEALTH AGENCY OFFICE NEED DETERMINATION (REVIEW CATEGORY F) 

It is determined t ha t t he r e is a need fo r one addit i onal Medica r e-ce r tified home health agency office to be loca t ed in Cumbe r land, 
Hoke, Robeson o r Scotland County, t o address t he s p ecial needs of pe r sons who are HIV positive and pe r sons with AIDS fr om tliis 
fou r county area. 

Authority G.S. 1318-176(25): 13 IE- 177(1); 131E-183(b). 

.61 24 DIALYSIS STATION NEED DETERMINATION 

(a) The Medical Facili t ies Plann i ng Section (MFPS) shall de t e rm ine need fo r new dialysis sta t ions two t imes each calenda r yea r , 
and shall make a r e p o rt of such de t e r mina t ions available t o all who r eques t it. — This r e p o r t shall be called t he No r th Ca r olina 
Semiannual Dialysis Repo rt (SDR). Data t o be used fo r such determinations, and thei r sources, a r e as follows : 

{\) Numbe r s of dialysis p atien t s, by ty p e, county and facility, f r om the Sou t heas t ern Kidney Council, Inc. (SEKC) and t he Mid- 
A t lan t ic Renal Coali t ion, Inc. as of Decembe r 3 1 , 1 997 for t he Ma r ch SDR and as of June 30, 1 998 for t he Sep t embe r SDR. 

(2) C ert ifica te o f n ee d d e cisions, decisions appeal e d, appeals se tt l e d, and awards, from the C e rtifica t e of Need Sec t ion, DFS. 

(3) Facili t i e s certified fo r participa t ion in Medicar e , from t he Certifica t ion Sec t ion, DFS. 

(4) Ne e d de t ermina t ions f o r which ce rt ifica te of need d e cisions hav e no t b ee n mad e , f r om MFPS r ecords . 

Ne e d de t ermina t ions in t his rep o rt shall b e an in t egral part of t h e Sta t e Medical Facili t ies Plan, as provided in G.S. 131II-183 . 
("b) Ne e d for n e w dialysis s t a t ions shall be de t e r mined as follows : 
(i^ C o un t y Ne e d : 

(A) The av e rag e annual r a te ('>^o) of change in t o t al numb e r of dialysis pa t ien t s r esiden t in e ach coun t y f r om t h e e nd of 
199 3 to t h e end of 1997 is multiplied by t he coun t y's 1997 yeai ^ end to t al number of pa t ien t s in the SDR, and t h e 
product is added t o e ach coun t y's mos t recen t t otal number of pati e nts reported in t he SDR. Th e sum is t h e c o un t y's 
projected t otal 1998 pa t i e n t s. 

(B) The p e rcen t o f e ach coun t y's t otal pa t ien t s who were h o me dialysis pa t ien t s at t he end of 1 997 is mul t ipli e d by t h e 
coun t y's projected t ot al 1 998 pa t ien t s, and t he produc t is sub tr ac t ed from t he c o un t y's projec t ed t otal 1 998 pa t ien t s. 
Th e r e mainde r is t h e coun t y's pr o jec t ed 1998 in-cen t er dialysis pa t ien t s . 

(C) The projected numb er of each coun t y's 1998 in-cen t er pa t ien t s is divided by 3.2. Tli e qu ot i e n t is t he pr oj e c t ion of 
t he coun t y's 1 998 in-cen ter dialysis s t a t ions. 

(D) F r om e ach coun t y's p r ojec te d numbe r of 1998 in-cen t er s t a t ions is sub t rac te d t he coun t y's numb e r of sta t ions 
c e rtified for Medicare, CON-a ppro ved a n d awai t ing c e rtifica t ion, awai t ing r e solu tio n of CON appeals, and t h e 
numb er r e p re sen t ed by n ee d d eterm ina t ions in pr e vious S t a t e M e dical Facili t i e s Plans or Semiannual Dialysis 
R e ports for which CON decisions hav e no t b ee n m ad e . The r emai n de r is the c o un t y's 1998 p r oj e c te d su rp lus o r 
deficit: 

^E) If a coun t y's 1 998 p r oj e c te d sta t ion defici t is 1 or gr e a t er and the SDR shows t ha t u t iliza t ion of each dialysis f a ci li t y 

14:22 NORTH CAROLINA REGISTER May 15, 2000 1962 



PROPOSED RULES 



in t he county is 80% o r g r eate r , t he 1 998 coun t y s t a t ion need de t e r mina t ion is t he same as t he 1998 projec t ed sta t ion 
defici t . If a coun t y's 1998 pr ojec t ed s t a t ion defici t is less than 10 o r if the u t iHza t ion of any dialysis facih t y in the 
county is less t han 80%, t he county's 1998 s t a t ion need determina t ion is ze r o . 
(2) Facility Need : A dialysis facility located in a county fo r which the r esul t of the Coun t y Need me t hodology is ze r o in the 
r efe r ence Semiann u al D i alysis Repo rt (SDR) is dete r mined t o need addi t ional s t ations t o t he exten t t ha t : 

(A) I t s u t ili z a t ion, r e p o rt ed in t he cu rr en t SDR, is 3.2 pa t ien t s pe r s t ation o r g r ea t e r . 

(B) Such need, calcula t ed as follows, is re p orted in an applica t ion for a ce rt ificate of need : 

(t) The facili t y's numbe r o f i n-cen t e r dialysis pat i e n t s r eported i n the p r evious SDR (SDR 4- ) is sub tr ac t ed from 

th e numbe r of in-cente r dialysis p a t ients r e p orted i n the cu rr en t SDR (SDR 2 ). Tlie diffe r ence is mul t iplied 

by 2 to p r ojec t the ne t i n-cen t e r change fo r 1 yea r . Divide the pr o j ec t ed ne t in-cen t e r change fo r t he year b y 

t he numbe r of in-cen t e r pa t ien t s f r om SDR f t o dete r mine t he pr ojec t ed annual growth rate. 

(rt) Th e quo t ien t f r om Subpa rt (b)(2)(D)(i) of this Rule is divided by 12. 

(rri) The quo t ien t fr om Subpa rt (b)(2)(D) (i i) of t his Rule is mul t i p lied by t he numbe r of mon t hs f r om the mos t 

r ecen t mon t h r e p orted in t he cu rr en t SDR un t il t he end of calenda r 1998. 
(iv) The prod u c t from Subpa rt (b)(2)(D)(iii) of t his Rule is m ul t i p lied by t he numbe r of t he facili t y's in-cen t e r 
pa t ien t s r e p o rt ed in t he cu rr en t SDR and t ha t pr oduc t is added t o such r e p o rt ed numbe r of in- c ent er pa t ien t s. 
(v) The sum fr om Subpa il (b)(2)(D)(iv) of t his Rule is divided by 3.2, and f r om t he quo t ien t is sub tr ac t ed t he 
facility's cu rr en t numbe r of ce rt ified and p ending stations as r eco r ded i n t he cu rr en t SDR. The r emainde r is 
t he numbe r of stations needed . 
(6) The facility may a p ply to expand t o mee t the need es t ablished in Subpart (b)(2)(D)(v) of t his Rule, up to a maximum 
of 10 sta t ions. 
(c) Th e schedule fo r publica t ion of the North Ca r oli n a Semiannual Dialysis Repo rt (SDR) and fo r r ece ipt of ce rt ificate of need 
a pp lic at ions based on each issue of t his r epo rt in 1998 shall be as follows : 



D a t a fo r Receip t of Publica t io n Rece ipt o f Beginning 

Pe r iod Ending SEKC Re port of SDR CON A pp l i ca t ions Review D ates 



Dec. 31, 1997 Fe b . 27, 1998 Ma rc h 20, 1998 May 1 5, 1998 June 1, 1998 

June 30, 1998 Aug. 31, -h998 Sept . 21, 19 9 8 Nov. 13, 1998 Dec. 1, 1998 



(d) A n a p plica t ion fo r a ce rt ifica t e of need p u r suan t to this Rule shall be conside r ed consis t en t with G.S. 131E-1 83(a) 
i t demons tr a t es a need by u t ilizing one of the me t hods of dete r mining need ou t lined in t his Rule . 

(e) An applica t ion fo r a new End Stage Renal Disease facili t y shall no t be a p p r oved unless i t documents the need fo r at leas t 10 
s t a t ions based on u t ilization of 3.2 p atien t s pe r s t a t ion pe r week. 

(f) Home p a ti en t s shall no t be i ncluded in de t e r mina t ion of need fo r new stations. 

Authority G.S. I31E-176(25); 131E-177(1): I3IE-183(b). 

.6125 HOSPICE NEED DETERMINATION (REVIEW CATEGORY F) 

I t is de t ermin e d t ha t t he re is no n e ed fo r addi t ional Hospices. 

Authority G.S. 131E-1 76(25); I31E-177(1): J31E-1 83(b). 

.6126 HOSPICE INPATIENT FACILITY BED NEED DETERMINATION (REVIEW CATEGORY F) 

(a) Singl e C o un t ies. Single coun t i e s with a projec t ed defici t of six o r more beds aie determi ne d to have abed need e qual t o t h e 
pr oj e c te d d e fici t . I t is de t e r min e d t ha t t he re is no ne e d f o r addi t i o nal singl e coun t y hospice inpa t i e n t facili t y b e ds . 

(b) Con t iguo u s Coun t ies. I t is d ete rmined t ha t any co mbin a t i o n of t wo or more con t iguous coun t ies taken f r om t h e f o llowing lis t 
shall have a need fo r n e w hos pi ce in p a t ien t facili t y b e ds if t h e com bi n ed be d d e fici t for t he gr o uping o f con t iguous coun t i e s t otals 
six or m ore beds. Each coun t y in a grouping of con t iguous coun t i e s mus t hav e a d e fi c it of a t leas t on e and no mo re t han fiv e b e ds. 
The need for th e g ro uping of con t iguous coun t ies shall be t he sum of t h e defici t s in t he ind i vidual coun t i e s. For pur p os e s o f t his Rul e , 
"con t iguous coun t i e s" shall m e an a gr o uping of North Carolina coun t i e s which includes t he coun t y in which t he new hos p ice inpa t ien t 
facili t y is p r o p os e d t o be l o ca t ed and any o ne or more of t he North Carolina coun t ies which hav e a common borde r with tha t coun t y, 
e v e n if t h e bo r d er s o nly t ouch a t o ne poin t . No c o u nty ma y b e included in a gr o uping of con t iguous coun t ies unless it is listed in t he 
follow i ng t a ble: 

I Coun t y Hospic e Inpa t i e n t | 



1963 NORTH CAROLINA REGISTER May 15, 2000 14:22 



PROPOSED RULES 



Bed Defici t 



Asue 

Haywood 

Jackson 

Rutherford 

Wa t auga 

McDowell 

wiiKes 

Yadkm 

Yancey 

Alamance 

Davidson 

Caswell 

Rockingham 

Stokes 

sttrry 

Cabar r us 

Gaston 

Iredell 

Lincoln 

Mecklenburg 

Rowan 

ataniy 

Union 

Chatham 

Durham 

Johnston 

waKe 

Fr ankl in 

Vance 

iioKe 

F>1 n I n n 

uiauen 

Brunswick 

Columbus 

Cumbe r land 

Harnett 

Moore 

P e nd er 

Riclimond 

Montgome r y 

Robeson 

Sco t land 

iJenie 

Cartere t 

Crav e n 

BuplTn 

Edgecombe 

H e rtf o rd 

•K T - - 1. 

rvasn 

Halifax 

Onslow 

Pitt 

fcenoir 

Wilson 



2 

4 

2 

2 
+ 
2 
2 
4 
\ 
\ 

+ 
2 
2 
4- 
3 

4 

J- 
\ 
\ 

2 

2 

\ 
2 

+ 

i- 

4: 

2 

2 

+ 



Authority G.S. J31E-} 76(25); 131E-177(1); 131E-] 83(b). 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1964 



PROPOSED RULES 



Mil PSYCHIATRIC BED NEED DETERMINATION (REVIEW CATEGORY C) 

I t is dete r mined t ha t t he r e is no need fo r addi t ional psychia t ric beds. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.6128 CHEMICAL DEPENDENCY TREATMENT BED NEED DETERMINATION (REVIEW 
CATEGORY C) 

(a) It is deter ii iiiied tha t t he r e is no need fo r any add it ional chemical de p endency tr ea t men t beds o t her t lian de t ox-only beds for 
a dul t s. Tlie following t able lists the m ental health p lanning areas t ha t need de t ox-only beds fo r adul t s and iden t i f ies t he number of 
such b e ds needed in each p l anning area. Tlie r e is no need for additional detox-only beds fo r adul t s in any odie r mental heal t li planning 
areas. 



Mental I lealth Planning Areas Numbe r of De t ox-Only 

(Cons ti tuent Coun ties) Planning Regions Beds Nee ded 



(Jackson, Haywood, Macon, Che r okee, W \% 



4 (T r ansylvania, Hende r son) 

5 (Caldwell, Bu r ke, Alexander, McDowell) 

6 (Ru t he r fo r d, Polk) 
1 1 (Rowan, Iredell, Davie) 
1 3 (Su n y, Yadk in) 
15 (Rockingham) 

1 7 (Alamance, Caswell) 

1 8 (Orange, Pe r son, Cha t ham) 

20 (Va n ce, G r anville, F r anklin, Wa rr en) 

21 (David s on) 
23 (Robeson, Bladen, Scotland, Columbus) 

2 6 (Johns t on) 

27 (Wake) 

31 (Wayne) 

3 2 (Wilson, G r eene) 

33 (Edgecombe, Nash) 

34 (Halifax) 

35 (C r aven, Jones, Pamlico, Car t e r e t ) 

38 (He r tfo r d, Be rt ie, Ga t es, Northampton) 

39 (Beaufo rt , Washing t on, Tyi r ell, Hyde, Mar t in) 

40 (Pasquo t ank, Chowan, Perquimans, Camden, 

Dar e , Curri t uck) 

4 1 (Du p lin, Sampson) E +6 





W 


« 




w 


W 


w 


w 




w 


w 






NC 


2 




N€ 


W 




NC 


6 


NC 


2 






NC 


W 




se 


« 




se 


5 


SC 


7 






se 


26 




E 


4 


E 


W 






E 


6 




E 


« 




E 


W 




E 


+e 




E 


4 




E 


5 




E 


W 



(b) "De t ox-only beds for adul t s" are chemical dep e ndency t i - ea t men t beds t ha t are occupi e d e xclusively by persons who are 1 8 y e a r s 
of ag e o r older who are exp er iencing physiological wi th d r awal fr om t h e ef f ect s of alcohol or othe r diiigs . 

(c) Th e c o u n t y or coun t ies which c o mp r is e e ach mental h e al t h p lanning area ar e lis t ed in 10 NCAC 3R .6104(b) . 

(d) D et ox-only beds for adul t s may b e developed outsid e of t h e men t al heal t h planning a r ea in which t h e y a r e ne e ded if : 

(+) Th e beds ar e developed in a con t iguous mental heal t h planning area t ha t is witliin t he same m e ntal h e al t h p lanning r e gion, 

as defined by 10 NCAC 3R . 6 104(c); and 
(2) The program boai - d i n the pla n ning a re a in which th e beds a re n e ed e d and t h e program board in t h e planning ar e a in which 

the beds ai 'e to b e d evelope d e a c h adopt a r e solu t ion su p port i ng t h e d e velopmen t of the beds in t he con t iguous planning 

area. 

Authority G.S. 131E-176(25): 131E-177(1): 131E-183(b). 

.6129 INTERMEDIATE CARE BEDS FOR THE MENTALLY RETARDED NEED 
DETERMINATION (REVIEW CATEGORY C) 

Intermediat e Care Beds for the Men t ally Reta r ded. I t is de t ermined tha t tlie men t al heal t h planning ar e as lis te d in the following 



1965 NORTH CAROLINA REGISTER May 15, 2000 14:22 



PROPOSED RULES 



t able need addi t io n al Iii l emiedia t e Care Beds fo r th e Men t ally Re t a r ded ("ICF/MR beds"). Tlie t able iden t i fi es t he numbe r of new 
c hild and adul t ICF/MR beds needed by each of t he lis t ed p lanning a r eas. In all bu t t he Fo r sy t h-S t okes Me n tal Heal t h Planning Area, 
t he new ICF/MR beds shall only be used t o conve rt exis t ing five-bed ICF/MR fac i li t ies in t o six-bed facili t ies. In t he Fo r syth-S t okes 
M e n t al Health Planning Area, t he ICF/MR bed shall be used only fo r a one-bed addi t ion to an exis t ing ICF/MR facili t y of 9 beds o r 
less. The addi t ion of a bed mus t r esul t in the re duc t i o n of "pe r clien t cos t s." Tliere is no need fo r new ICF/MR f acil it ies o r fo r any 
addi t ional ICF/MR beds i n any o t he r mental heal t h planning areas, exce pt as pr ovided in Rule 10 NCAC 3R ■6106(a)(8) . 



XT -, , -1 

IN ceo 
Men t al Health Planning A r ea (Con st ituen t Coun t ies) Determination 



r^ U '. TA \ , -l ,,U 

trmo AOUIt 

8 (Gas t on-Lincoln) + 

10 (Mecklenbu r g) 2 

14(Fo r syth, S t okes) + 

21 (Davidson) ir 

24(Cumbe r land) t 

37 (Pitt) t 



Authority G.S. 131E-I76(25); 131E-177(1); 131E-1 83(b). 

.6130 POLICIES FOR GENERAL ACUTE CARE HOSPITALS 

(a) Use of Licensed Bed Ca p aci t y Data fo r Planning Pu r poses. Fo r planning pu ip oses th e numbe r of lice n s e d beds shall be 
determined by t he Division of Facili t y Services in acco r dance wi t h standa r ds found in 10 NCAC 3C .6200 and .3102(d) . 

(b) U t iliza t ion of Acute Ca r e Hos p i t al Bed Ca p aci t y. Conve r sion of unde r u ti lized hospital s p ace to o t he r needed purposes shall 
be conside r ed an al t erna t ive t o new cons t ruc t ion. Hospitals falling below u t iliza t ion t a r gets in Pa r ag r aph (e) of t his Rule a r e assu m ed 
t o have unde r utilized s p ace. Any such hospi t al p r o p osing new cons tr uc t ion mus t clea r ly demons tr ate t ha t i t is mo r e cos t -effec t ive 
than conversion of exis t ing s p ace. 

(c) Exemp t ion fr om Plan P r ovisions for Ce rt ain Academic Medical Cen t e r Teaching Hos p i t al P r ojects. — P r ojec t s fo r which 
ce rt ificates of need a r e sough t by academic medical cen t e r t eaching hospi t als may qualify fo r exem pt ion from p r ovisions of 1 NCAC 
3 R . 6 107 t h r ough . 6 129. 

{\) The Sta t e Medical Facili t i e s Planning Sec t ion shall designa te as an Academic Medical Cen t e r Teaching Hos p i t al any 
f acility whose a pp lica t ion fo r such designa t ion demonst r a t es t he following cha r acte r is t ics of t he hos p ital : 
^A) Se r v e s as a pr i m a r y t eaching si t e fo r a sch o ol of medicine and a t least one othe r health pr ofessional school, pr ov i d i ng 

unde r g r adua t e, g r adua t e and postg r aduate educa t ion. 
(B) Houses exten siv e basic medical science and clinical r esea r ch p r og r ams, patien t s and equi p men t. 
(G) Se r ves t he t r eatmen t needs of p atients f r om a b r oad geog r a p hic area t hrough m ult i ple medical s p ecial t ies . 
(2) Exemp t ion f r om t he p r ovisions of 10 NCAC 3R .6107 t hr o ugh . 6 129 shall be g r anted t o p r ojec t s submi tt ed by Academic 
Medical Cen t er Teaching I los p i t als designa t ed pr ior t o Ja n ua r y 1 , 1 990 which pr ojec t s com p ly wi t h on e of t he following 
condi t ions : 
(t^ N e c e ssary t o complem e n t a specified and approved expansion of t h e numb er o r t y p es of s t ud e n t s, re siden t s or 

facul t y, as c e rtifi e d by t he head of t h e relevan t associa t ed prof e ssional school ; o r 
(B) N e cessaiy to accommoda t e pa ti ents, s t aff or equipmen t f o r a specified and approved ex p ansion of r esea r ch a ct ivi t i e s, 

as c ert ifi e d by t he h e ad of t he e n t i t y sponsoring t he research; or 
(G) N e cessary to accommoda t e changes in requ i remen t s of spec i al t y e duca t ion acc re di t ing bodi e s, as e vi d e n c ed by 
co p i e s of documen t s issued by such bodies. 

(d) Reconve r sion to Acu t e Ca r e. Facili t ies redis t ribu t ing beds from a c u te care b e d capaci t y t o r e habili t a t ion o r psychia tr ic u se shall 
ob t ain a certificate of need t o conv ert t his capaci t y back t o acu t e cai - e. Applica t ion for r e conve r sion of acu t e car e b e ds conv ert ed t o 
psychiatiy or rehabili t a t ion back t o acu t e care beds shall b e e valua te d agains t t he hospi t al's u t iliza t ion in r ela t ion t o t h e t arge t 
occupancies for acu te care b e ds shown below, wi t hou t regard t o t he acu te care b e d need detennina t ions sh o wn in 1 NCAC 3R .6 1 07. 

Lic e ns e d B e d Capaci t y Perc e nt Occupancy 

+-4^ 65% 

50-99 70% 

100-199 75% 

200 - 699 80% 

700-+ »iT5% 

(c) R e plac e ment of Acu t e Cai " e B e d Capaci t y. Tli e evalua t ion o f proposals fo r eit h er pa rt ial or tot al r e plac e men t of acu t e care beds 
(i.e., cons tr uc t ion of n e w spac e for e xis t ing acu te ca re beds) shall b e evalua te d a g ai n s t t h e u t iliza t ion of t he t o t al numbe r of acu te car e 
beds in th e applicant's hos p i t al in rela t ion to t he tai - g et oc c u p an c y o f t h e tot al numb er of beds in tha t hospital which is d e t e rmin e d 
as follows: 

14:22 NORTH CAROLINA REGISTER May 15, 2000 1966 



PROPOSED RULES 



To t al Licensed Acu t e Care Beds 

+-49 

50-99 
1 0- 1 99 
200 - 6 99 
706-1- 



Targe t Occupancy (Pe r c e nt) 

OD/0 

"7 nn/ 
/U/0 

/370 

80% 
bone I 



(f) All o geneic Done - Mar r ow T r ansplantation Services. Allogeneic bone mar r ow tr an s plan t s shall be p r ov i d e d only in f acili t ies 
having t he ca p abili t y o f d oi ng IILA ma t ching and of managemen t of p a t ien t s hav i ng solid o r gan tr ansplan t s. A t t heir p r esent stage 
of develo p men t i t is de t e r mined t ha t allogeneic bone m a rr ow tr ans p lanta t ion se r vices shall be limi t ed t o Academic Medical Cen t e r 
Teaching Ho sp itals. 

tg) Solid O r gan T r ans p lan t ation Se r vices. Solid o r gan t r ansplan t se r vices shall be limi t ed t o Academic Medical Cen t e r Teaching 
Hospi t als a t t his stage of t he development of this service. 



Authority G.S. 131E-176(25): I3IE-177(1); 131E-183(b). 



.6131 



POLICIES FOR INPATIENT 
REHABILITATION SERVICES 



me tr opolitan by t he U.S . Office of Managemen t and 
Budge t on Janua r y 1, 1998; and 
(2) on Jan u a r y 1, 1998, had a licensed acu t e ca r e bed 
ca p acity of 150 beds o r less, 
of need ap p lica t ions is unce rt ain, favo r able conside r ation shall The ce r ti f ica te of n e ed shall r emain in fo r ce as long as the 



(a) A ft e r a pp ly i ng o t he r r equi r ed c r ite r ia, when supe r io r ity 
among two o r m o r e compe t ing r ehabilita ti on facility ce r tificate 



be given t o p r o po sals t ha t m ake r ehabili t ation s er vices mo r e 
accessible t o p atien t s and their families o r a r e part of a 
comp r ehensive regional rehabili t a t ion network , 
(b) Reh abili t a t ion ca r e which can be p r ovided in an ou t patien t 



'Health and Human Se r vices de t e r mines t hat the 
hospi t al is mee t ing the conditions ou t lined in t his Parag r aph. 

(b) "Hos p i t al-bas e d long-term nu r sing care" is de f ined as 
long- t e r m nu r sing ca r e pr ovided t o a p a t ient who has been 



o r hom e se tt ing shall be pr ovided in t hese settings. All new di r ectly discharged f r om an acu t e ca r e bed and cannot be 



i npatie nt r ehabilitation p r og r ams shall p rovide com pr ehensive 
ou tp a t ien t r ehabilita t ion semces as pa rt of the ir se r vice delive r y 
p r ograms. 

Authority G.S. 13 IE- 1 76(25); 131E-177(1); 131E-183(b). 

.6132 POLICY FOR AMBULATORY SURGICAL 
FACILITIES 

Mul t i-Specialty Ambulato r y Su r ge r y. Af t e r a pp lyi n g othe r 
r equi r ed c r iteria, — when — su p erio r ity — among two — or mo r e 
compe t ing ambula tor y su r gical facility certi f ica t e of need 
a p plica t ions is unce rt ain, favo r able conside r ation shall be give n 
t o "mul t i-sp e cial t y pr o grams" ov er " speci al ty pr og i'a ms" in a re as 
where ne e d is d e mons tr ated in 10 NCAC 3R .6109. A mul t i- 
special t y ambula t o r y surgical program means a program 
pro vid i ng se r vices in a t l e ast thr e e o f t he follow i ng a r eas : 
gyn e cology, o t ola i- yngology, plas t ic su r g er y, g e ne r al surge r y, 
oph t halmology, orthopedics, u r ology, and oral surg e ry. An 
ambula t o r y su r gi c al facili t y shall provid e a t leas t t wo designa t ed 
o per a t i n g r ooms with general anes t h e sia capabili t ies, and a t leas t 
o ne d e signa t ed r e coveiy r oo m. 

Authority G.S. 131E-] 76(25); 131E-177(1); 131E-I83(b). 

.6133 POLICY FOR PROVISION OF HOSPITAL- 
BASED LONG-TERM NURSING CARE 

(a) A cert i f ica t e of n e ed may be i s su e d t o a hos p i t al which is 
licensed unde r G.S. 13 IE, A rtic le 5 , and which m eet s t he 
condi t ions s et forth b e low and in 1 NCAC 3R . 1 1 00, t o conve rt 
up to 10 b e ds f r om i t s l i c e ns e d acu t e care bed capaci t y f o r use as 
ho s p it al-bas e d long-t e rm nursing car e beds withou t regai ' d to 
d e t e rmina t ions of n ee d in 10 NCAC 3R .6121 if t he hospi t al : 
t+) is l o ca t ed in a coun t y which was designa te d as non- 



immediat e ly placed in a licensed nu r sing facility because of tlie 
unavailabili t y of a bed a ppr o p riate fo r t he i ndividual's needs. 
De t e r mina t ion of the pa t ien t 's need fo r hos p i t al-based long- t e r m 
nu r sing care shall be made in acco r dance with cri t e r ia and 
pr ocedu re s fo r de t ennining need fo r long- t e r m nursing cal ^ e 
administe r ed by the Divis i on of Medical Assistance and t he 
Medicare p r og r am. Beds developed unde r this Pa r ag r aph are 
i ntended t o pr ovide p lacemen t fo r r esiden t s only when 



p laceme 
geographic a r ea. 



long- t e r m care beds is unavailable in t he 
Hos p i t als which develo p beds ^ 



Pa r ag r a p h shall discha r ge p atien t s to o t he r nursing facili t ies wi t h 
available beds in tlie geog r a p hic a r ea as soon as possible where 
appro p ria t e and p ermissib le unde r ap p licable law. Necessary 
d o cumen t a t ion including c op ies of physic i an re ferral forms (FL 
2) on all pa t ien t s in hospital-based nursing uni t s shall be made 
av a ilabl e — for — review — upon — request — by — duly — au t horized 
re p re senta t iv e s of licensed n ur s i ng f acil it i e s. 

(c) F o r purp o ses of t his Parag r a p h, b e ds in hospi t al-based 
long- t erm nu r sing cai "e shall be certified as a "dis t inc t part" as 
de fine d by t h e Heal t h Ca re Financing Adminis t ra t ion. B e ds in 
a "dis t inc t part" shall b e converted fr o m t he exis t ing lic e ns e d b e d 
capaci t y of t h e hospi t al and shall no t b e reconverted t o any o t li er 
ca t egoiy or t ype of bed wi t hou t a ce rt ifica t e of need. — An 
applica t i o n fo r a certifica t e of n e ed fo r r eco nverting beds t o 
acute c a re shall be e valua te d agains t t h e hospital's seivi ce n e eds 
u t ilizing tar g et o cc u p anci e s shown in 10 NCAC 3R ■6130(d), 
wi t hou t re gard t o t h e a c ut e care bed need shown in 1 NCAC 3R 
:M07t 

(d) A ce rt ifica t e of n ee d issu e d for a hospi t al-bas e d long- t erm 
nui ' sing car e uni t shall re main in for c e as long as t h e fo ll o wing 
condi t i o ns a r e me t: 

(i) t he beds shall be certifi e d for participa t ion in t he Ti t le 
XVIIl (M e di c a i- e) and Ti t l e XIX (M e dicaid) 



1967 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



P r og r ams ; 

(2) the-ho spi t al discharges residen t s to o t he r nu r sing 
facili t ies in t he geog r aphic a r ea with available beds 
when such disc h arge is ap pr o pr iate and pe mi issible 
unde r a p plicable law; 

(3) p a t ie nt s admi tt ed shall have be e n acu t ely ill inpa t ients 
of an acu t e hos p i t al o r i t s sa t elli t es immedia t ely 
p r eceding placemen t in t he uni t . 

(c) Th e g r an t ing of beds f o r hos p i t al-based long- t erm nursing 
c a r e shall no t allow a hos p i t al t o conve rt addi t ional beds wi t hou t 
firs t obtaining a ce rt ifica t e of need. 

(f) Wlie r e any hos p i t al, o r t he p aren t corpo r a t ion o r en t ity of 
such hos p i t al, any subsidia r y co r po r a t ion o r en t i t y of suc h 
hos p i t al, o r any co rp o r a t ion o r en t ity r ela te d t o o r affilia t ed wi t h 
such hos p ital by common owne r ship, con tr ol or m anag e men t: 

i^r) applies fo r and r eceives a ce rt ifica t e of need f or long- 
teiiu cdie bed need d e termina t ions i n 10 NCAC 3R 
■6121; or 

(2) cu rr en t ly has nu r sing home beds licensed as a p a rt o f 
t he hospital unde r G.S. 13 IE, A rt icle 5 ; o r 

(3) cur r en t ly o p e r a t es long- t e r m ca r e beds unde r the 
Fede r al Swing Bed Prog r am (P.L. 9 6 -499), 

such hos p i t al shall no t be eligible t o a pp ly for a ce rt ifica t e o f 
need for hospi t al-based long-term care nu r sing beds unde r this 
Rule. Hos p itals designa t ed by t he S t a t e of No rt h Carolina as 
R u r al P r imary Ca r e Hospi t als pu r suant t o Sec t ion 1 820(f) of t he 
Social Security Act, as amended, which have no t been alloca t ed 
long- t erm caie beds unde r p r ovisions of G.S. 131E-175 th r ough 
13 IE- 190, m ay a p ply t o devel op beds unde r this Pa r ag r aph. 
I lowever, such hos p i t als shall no t develo p long- t e r m care beds 
bo t h t o m e e t needs dete r mined in 10 NCAC 3R . 6 121 and this 
Paragraph. 

(g) Beds ce rt ified as a "dis t inc t pa rt " unde r this Pa r ag r aph 
shall be counted i n the invento r y of exis t ing long- t erm ca r e beds 
a nd used in the calculation of unme t long- t erm care bed need fo r 
t he gene r al p opula t ion of a p lanning area. — Applica t ions for 
ce rt ifica t es of need pursuan t t o t his Parag r aph shall b e accep t ed 
o nly fo r t h e F ebr uary 1 r eview cycl e . B e ds awa r ded unde r t his 

mina t ions fo r 
Con t inua t ion of this 



Paragraph s h all b e deduc t ed from need determinations fo r t h e 
co un t y as sh o wn in 10 NCAC 3R .6121 



To qualify fo r such exemp t ion, ap p lica t ions fo r ce rt ifica t es of 
need shall show tha t t he proposed long-term nursing bed 
ca p aci t y : 

iVf WtH — only be — develo p ed — concu rr en t ly — with; — or 
s ubsequen t t o cons tr uc t ion on t he same si t e, of 
f a c ili t ies fo r bo t h of the following levels of ca r e : 



(A) 



inde p enden t living — accom m oda t ions 

(apai ti nents and homes) fo r p e r sons who a r e 
able t o ca rr y ou t normal ac t ivi t i e s of daily 
living — wi t hou t — assis t ance; — such 



ac c ommoda t ions 



the form o f 



(B) 



may be in 
apartmen t s, fla t s, houses, co t tages, and rooms 
wi t hin a suitable s ti iictu re; 
licensed adul t c ar e home beds for use by 



(2) 



(3) 



(4) 



pe r sons who, because o f age o r disabili t y 
r equi r e so m e p e r sonal se r vices, inciden t al 
medical se r v i ces, and room and board to assu r e 
thei r safe t y and comfort. 
Will be used exclusively t o meet t he needs of p e r sons 
wi t h whom t he facility has con t inuing ca r e con tr ac t s 
(in co mp liance with t he Depai tn ien t of Insu r ance 
s t atu t es and rules) who have lived in a non-nu r sing 
uni t of t he con t inuing ca r e facili t y fo r a p e ri od of a t 
l eas t 30 days. Excep t ions shall be allowed when one 
spouse o r sibling is admi tt ed to t he nursing un it a t tlie 
t ime the o t her spouse o r sibling moves in t o a non- 
nu r sing unit, o r when t h e medical condi t ion requiring 
nu r sing ca r e was no t known t o exis t or be imminent 
when the individual beca m e a party to t he con t inuing 
ca r e con tr act. Financial conside r a t ion paid by pe r sons 
p u r chasing a co n tinuing ca r e con tr a ct shall — be 
equitable between p e r sons entering a t the i ndependen t 
living and licensed adul t ca r e home levels of ca r e. 
Reflects the numbe r of beds r equired t o mee t th e 
cur r en t or projec t ed needs of r esidents wi t h whom t he 
f acility has an ag r eemen t t o provide con t inuing care, 
a ft e r making use of all feasible alte r na t ives t o 
ins t i t u t ional nursing car e . 

Will no t b e certified for participa t ion in the Medicaid 
progi ' am. 



Rul e shall be re view e d and app r oved by t he DepaitmeiU of (b) On e half of t h e long- te rm nursing b e ds devel o p e d und er 

t his exem pt ion shall b e e xcluded from t h e inv e n t o r y us e d t o 



mmeiu oi 
Certificat e s of need 



Healtli and Human S er vices annually. 

issu e d unde r poli c i e s analogous t o t his policy in Sta t e Medical pr o j e c t bed n ee d fo r t h e g e n er al popula t ion. Certificat e s of n ee d 

Facili t ies Plans subs e qu e n t t o t h e 1986 S t a t e M e dical Facili t ies 



t ion. Leni t icat e s O T 
issu e d und er p ol ic ie s a n al o gous t o t his policy in Sta te M e dical 



Plan aiT au t oma t ically am e nd e d t o confo r m wi t h t he provisions 
of t liis Paragraph. — Th e Depaitment of H e al t h and Human 



S er vices shall moni t o r t his 



p r ogram and ensure t ha t pa t ien t s 
aff e c te d by t his Parag i' aph are re ceiving appropria t e seiTices ; 
and t ha t condi t ions under which t h e c ert ifica t e of ne e d was 
g r an te d a r e being met. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b). 

.6134 POLICY FOR NURSING CARE BEDS IN 
CONTINUING CARE FACILITIES 

(a) Qualified con t inuing ca r e facili t ies ma y inc lu de f r om t he 
ou t se t , or add o r convert b e d capaci t y fo r l o ng- ter m nu r sing care 
wi t hou t r e gard to t he b e d n ee d shown in 10 NCAC 3R .6121. 



F acil itie s Pla n s subs e qu e n t t o t he 1 985 SMFP are au t oma t ically 
am e nded to con fo rm with t he provisions of t his Parag r aph. 
C e rtifi c a te s of n eed a w a r ded pursuan t t o t he provisions of 
Cha pter 920, Session Laws 1 983, or Chapt e r 445, Session Laws 
1985 shall no t b e amend e d. 



Authority G.S. 131E-176(25); 13IE-177(1): 131E-183(b). 

.6135 POLICY FOR DETERMINATION OF NEED 
FOR ADDITIONAL NURSING BEDS IN 
SINGLE PROVIDER COUNTIES 

Wli e n a long- t enn ca r e facili t y wi t h few e r than 80 nursing care 
b e ds is t h e only nu r sing c ar e f acili t y within a coun t y, it m ay 
apply for a certifica te of n ee d f o r addi t ional n u r sing b e ds in 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1968 



PROPOSED RULES 



o r de r t o bring t he minimum numbe r of beds available wi t hin the 
coun t y t o no more t han 80 nursing beds wi t hou t r egard t o the 
nursing b e d need determination fo r t ha t county as lis t ed in 10 
NCAC3R.6121. 

Authority G.S. 131E-176(25); 131E-I77(1); 131E-1 83(b). 

.6136 POLICY FOR RELOCATION OF CERTAIN 
NURSING FACILITY BEDS 



A cer t ifi c a te of need t o reloca t e 



exis t ing licensed nursing 
facili t y b e ds t o ano t h er county(ies) m ay be issu e d t o a facili t y 
licensed as a nu r sing facili t y unde r G.S. 1 3 1 E, A rt icle 6, Pa r t A, 
pr ovided tha t t he condi t ions se t fo rt h in t his Parag r a p h and in 1 
NCAC 3R. 1100 and t he r eview criteria in G.S. 131C-183(a) are 
met. 

{\) A facility ap p lying for a ce rt ifica t e of need t o r e l oca t e 
nu r sing facili t y beds shall demonst r a t e t ha t: 

(a) i t is a non-p r ofi t nursing facility suppo rt ed by 
and di r ec t ly affiliated wi t h a par t icula r r eligion 
and t ha t i t is t he only nursing facili t y in North 
Carolina suppo rt ed by and affilia t ed with tha t 
r e l igion; 

(b) t he pri m ary pur p ose fo r t he nu r sing facility's 
exis t ence is t o p rovide long-te r m caie to 
f ollowe r s o f the specified r eligion in an 
environment — which — e mphasizes — r eligious 
cus t oms, ceremonies, and p r ac t ices; 

(c) reloca t ion of the nu r sing facility beds t o one o r 
mo r e si t es is necessa r y t o mo r e effectively 
p rovide long-term nursing ca r e t o followe r s of 
t he s p ecified r eligion in an envi r onment which 
emphasizes r eligious cus t oms, ce r emonies, and 
prac t ices; 

-(d) — the nu r sing facili t y is ex p ec t ed t o se r ve 
followe r s of the specified religion from a 
mul t i-county a r ea; and 

(e) t he needs of t he p o p ul a tion p r esen t ly se r ved 

shall b e m et adequa te ly pursuan t to G .S. 1 3 1 E- 
1 07 

(2) Exemption f r om t h e provisions of 1 NCAC 3R .6 1 2 1 
shall be grant e d t o a nu r sing f ac ilit y f or pu r pos e s of 
r e locating e xis t ing licensed nursing beds to ano t h er 
coun t y p r ovid e d t ha t i t complies wi t h all o f t h e c r i t eria 
lis te d in t his Rule. 

(3) Any certi f ica te o f nee d issu e d unde r thi s Rul e shall be 
subjec t t o t h e fo llowing condi t ions : 

(a) t he nursing facili t y shall reloca te beds in a t 
l e as t t wo s t ag e s over a period of a t leas t six 
mon t hs; and 

(b) t h e nursing f acili t y shall pr ovid e a l ett e r t o t h e 
M e dical Facili t ies Lic e nsu re Sec t i o n, on o r 
before the da t e t ha t t h e firs t g r oup of b e ds ar e 
r eloca te d, ir re vocably c o mmi tt ing t he facili t y t o 
r e l o cat e all of t h e nursing facili t y beds for 
which i t has a certifica t e of need to reloca te ; 
and 

(c) subs e qu e n t t o providing t he l ettei — t o the 
Medical Facili t ies Lic e nsure S ect ion d e sc r ibed 



i n Sub-i t em (3)(b) of t his Rule, t h 
f acili t y shall accept no new pa t ients in the beds 
which a r e being r eloca t ed, exce pt new pa t ients ^ 
who, p rio r t o admission, indica t e thei r desire t o fl 
tr ansfe r t o t he facili t y's new loca t ion(s). 

Authority G.S. 131E-1 76(25); 131E-177(1); 13 IE- 183(b). 

.6137 POLICY FOR HOME HEALTH SERVICES 

Need De t e r mination Upon Termination of Coun t y's S ole 



Home Heal t h As 



; board of 



vgency. wnen a home neai t n agency's 
di r ec t o r s, o r in t he case of a public agency, the r esponsible 
public body, vo t es t o disc ont inue t he agency's pr ovision of home 
heal t h se r vices and : 

i\) t he agency is t he only home health agency wi t h an 
office physically loca t ed in t he county; and 

(2) t he agency is no t being lawfully tr ansfe rr ed t o anotlie r 
entity; 
need fo r a new home heal t h agency office in the coun t y is 
t hereby es t ablished through this Rul e . — Following r ece ip t of 
written no t ice of such decision f r om the ho m e heal t h agency's 
chief adminis tr a t ive officer, t he Ce rt ificate ofNeed Sec t ion shall 
give public notice of t he need fo r one home health agency office 
i n the county, and the da t es of t h e r eview of a p plica t ions t o mee t 
t he need. Such notice shall be given no less t han 45 days prior 
t o the final date fo r recei pt of applica t ions in a news p a p e r 
se r ving t he county and t o home health agencies loca t ed ou t side 
t he county r e p o rt ing se r ving county pa t ients i n t he mos t r ecen t 
licensure a p plications on file. 

Authority G.S. 131E-] 76(25); 131E-I77(l); 131E-I83(b). 

.6138 POLICY FOR END-STAGE RENAL DISEASE 
DIALYSIS SERVICES 

Reloca t ion of D i alysis S t a t ions. — Relocations of exis t ing 

dialysis s t a t ions a r e allowed only wi t hin the hos t coun t y and to 

contiguous counties cu rr e nt ly se r ved by t he facili t y. Ce rt ifica t e 

of ne e d applican t s proposing t o re loca te dialysis s t a t ions shall : 

iV) d e mons t ra t e t ha t t he proposal shall n ot re sul t in a 

deficit in t he number of dialysis s t a t ions in t h e c o un t y 

t ha t would b e losing s t a t ions as a resul t o f the 

proposed p r oj e c t , as r e fl e c te d i n t he most recen t 

S e miannual Dialysis R e po rt , and 

(2) d e mons t ra t e tha t the proposal shall not resul t in a 

sur p lus of dialysis s t a t ions in t he coun t y t ha t would 

gain s t a t i o ns as a re sul t of th e p ro pos e d projec t , as 

reflec t ed in t he mos t r ecent S e miaimual Dialysis 

Report. 

Authority G.S 131E-176(25); 131E-177(1); 131E-183(b). 

.6139 POLICIES FOR PSYCHIATRIC INPATIENT 
FACILITIES 

(a) Transfer of B e ds f r om Sta te Psychia t ric Hos p i t als to 
Communi t y Facili t i e s. Beds in t h e S t ate psychia t ric hospi t als 
used to serve short- t erm psychia tr ic p a t ients may be r e loca t ed t o 
communi t y fac il it ies. Howev e r, b e fo r e b e ds al ^ e t ransf e r r ed ou t 
of t he Stat e psychia tr ic hospi t als, appropria t e s er vic e s and 



1969 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



prog r ams shall be av a ilabl e in t he cominunity. S t a t e hospital 
beds which a r e r eloca t ed to cominuni t y facili t ies shall be closed 
wi t hin 90 days following t he date t he t r ans f e rr ed beds beco m e 
ope r a t ional in t he communi t y. Facilities pr o p os i ng t o ope r ate 
tr ansf err ed beds shall commi t t o se r ve t he t y p e of sho rt - t erm 
pa t ien t s normally placed a t t he S t a t e p sychia tr i c hos p i t als. T o 
help ensure t ha t r eloca t ed beds will se r v e t hose p e r sons who 
would have been se r ved by t h e S t a t e psychia tr ic hospi t als, a 
pro p osal t o tr ansfe r beds fr om a S t a t e hospi t al shall include a 
written — memo r andum — of — ag r eemen t — between — the — area 
MII/DD/SAS pr og r am se r ving t h e coun t y whe r e tlie beds are t o 
b e loca t ed, t he Sec r e t a r y of Human Resources, and tlie person 
s ubmi tt ing t he pr oposal. 

(b) Alloca t ion of Psychia t ric Beds. A hospi t al submitting a 
€ert i f ica t e of Need a pp lica t ion t o add inpa t ient psychia t nc beds 
s hall conve rt excess licensed acu te c a r e beds t o p sychia tr ic beds. 
In de t e r mining excess lic e nsed acu t e ca r e b e ds, t he hospi t al shall 



sub tr ac t t he ave r age i 



r a te fo r i t s licensed acu t e ca r e 



age occupancy i 
b eds ove r t he pr evious 12-mon t h pe r iod fr om t he a pp ro pr ia t e 



targets 



■ r a t e fo r acu t e ca r e beds listed in 1 NC AC 3R 



t occu p ancy i 

.6130(d) and mul ti ply t he diffe r ence by t he numbe r of its 
exis t i n g licensed acu t e ca r e beds. 

(c) L i nkages Be tw een Trea t men t Se ttin gs. — An ap p lican t 
ap plying fo r a certifica t e of need fo r psychia tr ic inpatien t facility 
beds shall documen t tha t the affec t ed area mental health, 
developmen t al disabilities and substance abuse au t horities have 
been con t ac t ed and invited t o comment on the proposed se r v i ces. 

Authority G.S. 131E-176(25); 131E-177(1); 131E-I83(b). 

.6140 POLICY FOR CHEMICAL DEPENDENCY 
TREATMENT FACILITIES 

L i nkages Between Trea t men t Se t tings. An ap p lican t ap p lying 
for a ce rt ifica t e of need fo r chemical dependency treatment 
facili t y beds shall documen t that the affected area mental heal t h, 
developmen t al disabilities and substance abuse authori t ies have 
been contac t ed and invited t o commen t on t he proposed sei " vices. 

Authority G.S. 13 IE-] 76(25); 131E-177(1); 131E-183(b). 



TITLE ISA - DEPARTMENT OF ENVIRONMENT 
AND NATURAL RESOURCES 

Notice is hereby given in accordance with G.S. 150B-21.2 
that the Environmental Management Commission intends 
to amend rules cited as ISA NCAC 2D .0521, .0535 Notice of 
Rule-making Proceedings was published in the Register on 
August 16, 1999 and February 15, 2000. 

Proposed Effective Date: April 1, 2001 

A Public Hearing will be conducted at 7:00 p.m. on June 6, 
2000 at the Groundfloor Hearing Room, Archdale Building, 512 
N. Salisbury St., Raleigh, NC. 

Reason for Proposed Action: The Control of Visible Emission 
rule is being amended to revise the methodology for determining 
compliance with the opacity standard when the opacity is 
measured with a continuous opacity monitor and the Excess 
Emissions Reporting and Malfunctions rule is being amended to 
specify the criteria to use to determine if excess emissions 
during start-up and shut-down are unavoidable to make start-up 
and shut-down provisions federally enforceable. 

Comment Procedures: All persons interested in these matters 
are invited to attend the public hearings. Any person desiring 
to comment is requested to submit a written statement for 
inclusion in the record of proceedings at the public hearing. 
The hearing officer may limit oral presentation lengths to three 
minutes if many people want to speak. The hearing record will 
remain open until June 14, 2000 to receive additional written 
statements. To be included, the statement must be received by 
the Division by June 14, 2000. Comments should be sent to, and 
additional information concerning the hearings or the proposals 
may be obtained by contacting Mr. Thomas C. Allen, Division 
of Air Quality, 1641 Mail Service Center, Raleigh, NC 27699- 
1641, phone (919)733-1489, fax (919)715-7476, 
Thom.Allen(S),ncmail.net. 



.6141 POLICIES FOR INTERMEDIATE CARE 

FACILITIES FOR MENTALLY RETARDED 

(a) De te rmina t ion of Intermedia te Cai ^ e B e d Ne e d for 
M e n t ally R et arded/D e v e lo p men t ally Disabled Pe r sons. Af t e r 



Fiscal Impact 
State Local 



Sub. 



None 
• 



applying otlici required criteria, when supci ioiity among two ur CHAPTER 2 - ENVIRONMENTAL MANAGEMENT 

mo re comp et ing ICF/MR certifica t e of need applica t ions is 

SUBCHAPTER 2D - AIR POLLUTION CONTROL 
REQUIREMENTS 



unc ert ain, favorabl e co n side r a t ion shall be given t o cou nt i es th a t 
d o no t have ICF/MR g r oup hom e s when such c o un t i e s a re part 
o f a mul t i-coun t y ar e a f or which a need is shown in 10 NCAC 
3R.6129. 

(b) Linkages B et ween Trea t m e n t S ett ings. — An applican t 
applying f o r a certifica t e of n ee d f or intermedia te cai ' e facili t y 
beds fo r m e n t ally r et ard e d shall do c um e n t tha t t h e aff e c te d ar e a 
men t al heal t h, dev e lopm e ntal disabili t i e s and subs t ance abus e 
au t h o ri t i e s hav e b e en con t ac t ed and invited to commen t on t he 
pr o posed sei ' vic e s. 

Authority G.S 131E-1 76(25); 131E-177(1); 131E- 183(b). 



SECTION .0500 - EMISSION CONTROL STANDARDS 

.0521 CONTROL OF VISIBLE EMISSIONS 

(a) Purpose. The intent of this Rule is to prevent, abate and 
control emissions generated from fuel burning operations and 
industrial processes where an emission can be reasonably 
expected to occur, except during s t ar t ups mad e start-up. shut- 
downs, and malfiinctions approved as such according to 
procedures approved under Rule .0535 of this Section. 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1970 



PROPOSED RULES 



(b) Scope. This Rule shall apply to all fuel burning sources 
and to other processes that may have a visible emission. 
However, sources subject to a visible emission standard in Rules 
.0508, .0524, .1 1 10, or .1 1 1 1 of this Subchapter shall meet that 
standard instead of the standard contained in this Rule. 

(c) For sources manufactured as of July 1, 1971, visible 
emissions shall not be more than 40 percent opacity when 
averaged over a six-minute period. However, except for sources 
required to comply with Paragraph (g) of this Rule, six-minute 
averaging periods may exceed 40 percent opacity if: 

(1 ) No six-minute period exceeds 90 percent opacity; 

(2) No more than one six-minute period exceeds 40 
percent opacity in any hour; and 

(3) No more than four six-minute periods exceed 40 
percent opacity in any 24-hour period. 

(d) For sources manufactured after July 1, 1971, visible 
emissions shall not be more than 20 percent opacity when 
averaged over a six-minute period. However, except for sources 
required to comply with Paragraph (g) of this Rule, six-minute 
averaging periods may exceed 20 percent opacity if: 

(1 ) No six-minute period exceeds 87 percent opacity; 

(2) No more than one six-minute period exceeds 20 
percent opacity in any hour; and 

(3) No more than four six -minute periods exceed 20 
percent opacity in any 24-hour period. 

(e) Where the presence of uncombined water is the only 
reason for failure of an emission to meet the limitations of 
Paragraph (c) or (d) of this Rule, those requirements shall not 
apply. 

(f) Exception from Opacity Standard in Paragraph (d) of this 
Rule. Sources subject to Paragraph (d) of this Rule may be 
allowed to comply with Paragraph (c) of this Rule if: 

(1) The owner or operator of the source demonstrates 
compliance with applicable particulate mass emissions 
standards; and 

(2) The owner or operator of the source submits 
necessary data to show that emissions up to those 
allowed by Paragraph (c) of this Rule will not violate 
any national ambient air quality standard. 

The burden of proving these conditions shall be on the owner or 
operator of the source and shall be approached in the following 
manner. The owner or operator of a source seeking an exception 
shall apply to the Director requesting this modification in its 
permit. The applicant shall submit the results of a source test 
within 90 days of application. Source testing shall be by the 
appropriate procedure as designated by rules in this Subchapter. 
During this 90-day period the applicant shall submit data 
necessary to show that emissions up to those allowed by 
Paragraph (c) of this Rule will not contravene ambient air quality 
standards. This evidence shall include, as a minimum, an 
inventory of past and projected emissions from the facility. In 
its review of ambient air quality, the Division may require 
additional information that it considers necessary to assess the 
resulting ambient air quality. If the applicant can thus show that 
it will be in compliance both with particulate mass emissions 
standards and ambient air quality standards, the Director shall 
modify the permit to allow emissions up to those allowed by 
Paragraph (c) of this Rule. 



(g) For sources required to install, operate, and maintain 
continuous opacity monitoring systems (COMS), compliance 
with the numerical opacity limits in this Rule shall be determined ^ 
as follows: excluding start-ups, shut-downs, and malfunctions fl 
approved as such according to procedures approved under Rule 
.0535 of this Section, the percent of excess emissions (defined 
as the percentage of monitored operating time in a calendar 
quarter above the opacity limit) shall not exceed 0.8 percent of 
the total operating hours. If a source operates less than 500 
hours during a calendar quarter, the percent of excess emissions 
shall be calculated by including hours operated immediately 
previous to this quarter until 500 operational hours are obtained. 

Authority G.S. 143-215. 3(a)(1); 143-215. 107(a)(5). 

.0535 EXCESS EMISSIONS REPORTING AND 
MALFUNCTIONS 

(a) For this Rule the following definitions apply; 

(1) "Excess Emissions" means an emission rate that 
exceeds any applicable emission limitation or standard 
allowed by any rule in Sections .0500, .0900, .1200, 
or .1400 of this Subchapter; or by a permit condition; 
or that exceeds an emission limit established in a 
permit issued under 15A NCAC 2Q .0700. 

(2) "Malfunction" means any unavoidable failure of air 
pollution control equipment, process equipment, or 
process to operate in a normal and usual manner that 
results in excess emissions. Excess emissions during 
periods of routine start-up and shut-down of process 
equipment shall not be considered a malfunction. 
Failures caused entirely or in part by poor 
maintenance, careless operations or any other upset 
condition within the control of the emission source 
shall not be considered a malfunction. 

(3) "Start-up" means the commencement of operation of 
any source that has shut-down or ceased operation for 
a period sufficient to cause temperature, pressure, 
process, chemical, or a pollution control device 
imbalance that would result in excess emission. 

(4) "Shut-down" means the cessation of the operation of 
any source for any purpose. 

(b) This Rule does not apply to sources to which Rules .0524, 
.1110, or .1111 of this Subchapter applies unless excess 
emissions exceed an emission limit established in a permit issued 
under I5A NCAC 2Q .0700 that is more stringent than the 
emission limit set by Rules .0524, .1110 or .1111 of this 
Subchapter. 

(c) Any excess emissions that do not occur during start-up or 
shut-down shall be considered a violation of the appropriate rule 
unless the owner or operator of the source of excess emissions 
demonstrates to the Director, that the excess emissions are the 
result of a malfunction. To determine if the excess emissions are 
the result of a malfunction, the Director shall consider, along 
with any other pertinent information, the following: 

(1) The air cleaning device, process equipment, or 
.process has been maintained and operated, to the 
maximum extent practicable, consistent with good 
practice for minimizing emissions; 



1971 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



(2) Repairs have been made expeditiously when the 
emission hmits have been exceeded; 

(3) The amount and duration of the excess emissions, 
including any bypass, have been minimized to the 
maximum extent practicable; 

(4) All practical steps have been taken to minimize the 
impact of the excess emissions on ambient air quality; 

(5) The excess emissions are not part of a recurring 
pattern indicative of inadequate design, operation, or 
maintenance; 

(6) The requirements of Paragraph (f) of this Rule have 
been met; and 

(7) If the source is required to have a malfunction 
abatement plan, it has followed that plan. 

All malfunctions shall be repaired as expeditiously as 
practicable. However, the Director shall not excuse excess 
emissions caused by malfunctions from a source for more than 
1 5 percent of the operating time during each calendar year. The 
Director may require the ovmer or operator of a facility to 
maintain records of the time that a source operates when it or its 
air pollution control equipment is malfunctioning or otherwise 
has excess emissions. 

(d) All electric utility boiler units shall have a malfunction 
abatement plan approved by the Director as satisfying the 
requirements of Subparagraphs ( 1 ) through (3) of this Paragraph. 
In addition, the Director may require any other source to have a 
malfunction abatement plan approved by the Director as 
satisfying the requirements of Subparagraphs ( 1 ) through (3) of 
this Paragraph. If the Director requires a malfunction abatement 
plan for a source other than an electric utility boiler, the owner 
or operator of that source shall submit a malfunction abatement 
plan within 60 days after receipt of the Director's request. The 
malfiinction plans of electric utility boiler units and of other 
sources required to have them shall be implemented when a 
malfiinction or other breakdown occurs. The purpose of the 
malfiinction abatement plan is to prevent, detect, and correct 
malfunctions or equipment failures that could result in excess 
emissions. A malfunction abatement plan shall contain as a 
minimum: 

(1) a complete preventive maintenance program 
including: 

(A) the identification of individuals or positions 
responsible for inspecting, maintaining and 
repairing air cleaning devices; 

(B) a description of the items or conditions that 
will be inspected and maintained; 

(C) the frequency of the inspection, maintenance 
services, and repairs; and 

(D) an identification and quantities of the 
replacement parts that shall be maintained in 
inventory for quick replacement; 

(2) an identification of the source and air cleaning 
operating variables and outlet variables, such as 
opacity, grain loading, and pollutant concentration, 
that may be monitored to detect a malfunction or 
failure; the normal operating range of these variables 
and a description of the method of monitoring or 
surveillance procedures and of informing operating 



personnel of any malfunctions, including alarm 

systems, lights or other indicators; and 

(3) a description of the corrective procedures that the 

owner or operator will take in case of a malfunction or 

failure to achieve compliance with the applicable rule 

as expeditiously as practicable but no longer than the 

next boiler or process outage that would provide for 

an orderly repair or correction of the malfunction or 

15 days, whichever is shorter. If the owner or 

operator anticipates that the malfunction would 

continue for more than 1 5 days, a case-by-case repair 

schedule will be established by the Director with the 

source. 

The ovraer or operator shall maintain logs to show that the 

operation and maintenance parts of the malfunction abatement 

plan are implemented. These logs shall be subject to inspection 

by the Director or his designee upon request during business 

hours. 

(e) The owner or operator of any electric utility boiler unit 
required to have a malfunction abatement plan shall submit a 
malfunction abatement plan to the Director within 60 days of the 
effective date of this Rule. The owner or operator of any other 
source required by the Director to have a malfunction abatement 
plan shall submit a malfunction abatement plan to the Director 
within six months after it has been required by the Director. The 
malfunction abatement plan and any amendment to it shall be 
reviewed by the Director or his designee. If the plan carries out 
the objectives described by Paragraph (d) of this Rule, the 
Director shall approve it. If the plan does not carry out the 
objectives described by Paragraph (d) of this Rule, the Director 
shall disapprove the plan. The Director shall state his reasons 
for his disapproval. The person who submits the plan shall 
submit an amendment to the plan to satisfy the reasons for the 
Director's disapproval within a time prescribed by the Director. 
Any person having an approved malfunction abatement plan 
shall submit to the Director for his approval amendments 
reflecting changes in any element of the plan required by 
Paragraph (d) of this Rule or amendments when requested by the 
Director. The malfunction abatement plan and amendments to 
it shall be implemented within 90 days upon receipt of written 
notice of approval. 

(0 The owner or operator of a source of excess emissions that 
last for more than four hours and that results from a malfunction, 
a breakdown of process or control equipment or any other 
abnormal conditions, shall: 

(1) notify the Director or his designee of any such 
occurrence by 9:00 a.m. Eastern time of the Division's 
next business day of becoming aware of the 
occurrence and describe: 

(A) name and location of the facility, 

(B) the nature and cause of the malfunction or 
breakdown, 

(C) the time when the malfunction or breakdown is 
first observed, 

(D) the expected duration, and 

(E) an estimated rate of emissions; 

(2) notify the Director or his designee immediately when 
the corrective measures have been accomplished; 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1972 



PROPOSED RULES 



(3 ) submit to the Director within 1 5 days after the request 
a written report that includes: 

(A) name and location of the facility, 

(B) identification or description of the processes 
and control devices involved in the malftinction 
or breakdown, 

(C) the cause and nature of the event, 

(D) time and duration of the violation or the 
expected duration of the excess emission if the 
malfunction or breakdown has not been fixed, 

(E) estimated quantity of pollutant emitted, 

(F) steps taken to control the emissions and to 
prevent recurrences and if the malfunction or 
breakdown has not been fixed, steps planned to 
be taken, and 

(G) any other pertinent information requested by 
the Director. 

After the malfunction or breakdown has been corrected, the 
Director may require the owner or operator of the source to test 
the source in accordance with Rule .050 1 of this Section to 
demonstrate compliance. 

(g) Start-up and shut-down. Excess emissions during start-up 
and shut-down shall be considered a violation of the appropriate 
rule if the owner or operator cannot demonstrate that the excess 
emissions are unavoidable, unavoidable when r eques t ed to do so 
by the — D ir ec t o r . To determine if excess emissions are 
unavoidable during start-up or shut-down the Director shall 
consider the items listed in Paragraph (c)n) through (c)(7) of 
this Rule along with any other pertinent information. The 
Director may specify for a particular source the amount, time, 
and duration of emissions allowed during start-up or shut-down. 
The owner or operator shall, to the extent practicable, operate 
the source and any associated air pollution control equipment or 
monitoring equipment in a manner consistent with best 
practicable air pollution control practices to minimize emissions 
during start-up and shut-down. 

Authority G.S. 143-215.3(a)(l); 143-21 5.107(a)(4). 

Notice is hereby given in accordance with G.S. 150B-21.2 
that the Environmental Management Commission intends 
to adopt rules cited as ISA NCAC 2D .1416 - .1417, amend 
rules cited as 15A NCAC 2D .1402 - .1404, .1411. Notice of 
Rule-making Proceedings was published in the Register on June 
15, 1999. 

Proposed Effective Date: April 1, 2001 



July 17.2000 

7:00 p.m. 

Forsyth County Public Library 

660 West 5"' Street 

Winston-Salem, NC 27101 

July 25. 2000 

7:00p.m. 

Charlotte-Mecklenburg Government Center 

600 East 4"' Street 

Charlotte, NC 28202 

July 27. 2000 

7:00 p.m. 

Lipinsky Auditorium 

UNCAsheville 
1 University Heights 
Asheville. NC 28804 

Reason for Proposed Action: The proposed amendments and 
adoptions are a critical element in Governor Hunt's Clean Air 
Plan for North Carolina. These proposals will reduce nitrogen 
oxide emissions from power plants within North Carolina, which 
will, in turn, significantly reduce the formation of low-level 
ozone within this State. 

Comment Procedures: All persons interested in these matters 
are invited to attend the public hearings. Any person desiring 
to comment for more than three minutes is requested to submit 
a written statement for inclusion in the record of proceedings at 
the public hearing. The hearing officer may limit oral comments 
to no more than five minutes. The hearing record will remain 
open until August 1, 2000 to receive additional written 
statements. Comments should be sent to and additional 
information concerning the hearing or the proposals may be 
obtained by contacting Mr. Thomas C Allen, Division of Air 
Quality, 1641 Mail Service Center, Raleigh, NC 27699-1641. 
Phone (919)733-1489, Fax (919)715-7476, E-mail: 
Thom.Allen@ncmail.net. 



Fiscal Impact 
State Local 



Sub. None 

/- ISA NCAC 2D .1402 - .1404, .1411 
/ - ISA NCAC 2D .1416 - .1417 



CHAPTER 2 - ENVIRONMENTAL MANAGEMENT 

SUBCHAPTER 2D - AIR POLLUTION CONTROL 
REQUIREMENTS 



A Public Hearing will be conducted: 

July 12, 2000 

7:00p.m. 

Groundfloor Hearing Room 

Archdale Building 

512 N. Salisbury Street 

Raleigh, NC 27611 



SECTION .1400 - NITROGEN OXIDES 

.1402 APPLICABILITY 

(a) The requirements of this Section shall only apply from 
April 1 May 1 through September 30. Oc t ob e r 3 1 . 

(b) Rule .1416 of this Section applies statewide effective 
October 1.2000. 



1973 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



ftr)(c) With the exceptions stated in Paragraph ff) (g) of this 
Rule, this Section shall apply to: 

(1) Charlotte/Gastonia, consisting of Mecklenburg and 
Gaston Counties in accordance with Paragraph (c) (d} 
of this Rule; 

(2) GreensboroAVinston-Salem/High Point, consisting of 
Davidson, Forsyth, and Guilford Counties and the 
part of Davie County bounded by the Yadkin River, 
Dutchmans Creek, North Carolina Highway 801, 
Fulton Creek and back to Yadkin River in accordance 
with Paragraph (d) (e} of this Rule ; or 

(3) Raleigh/Durham, consisting of Durham and Wake 
Counties and Dutchville Township in Granville 
County in accordance with Paragraph (e) £f) of this 
Rule. 

(c)(d} If a violation of the ambient air quality standard for 
ozone is measured in accordance with 40 CFR 50.9 in Cabarrus, 
Gaston, Iredell, Lincoln, Mecklenburg, Rowan, or Union 
County, North Carolina or York County, South Carolina, the 
Director shall initiate analysis to determine the control measures 
needed to attain and maintain the ambient air quality standard for 
ozone. By the following May 1 , the Director shall implement the 
specific stationary source control measures contained in this 
Section that are required as part of the control strategy necessary 
to bring the area into compliance and to maintain compliance 
with the ambient air quality standard for ozone. The Director 
shall implement the rules in this Section identified as being 
necessary by the analysis by notice in the North Carolina 
Register. The notice shall identify the rules that are to be 
implemented and shall identify whether the rules implemented 
are to apply in Gaston or Mecklenburg County or in both 
counties. At least one week before the scheduled publication 
date of the North Carolina Register containing the Director's 
notice implementing rules in this Section, the Director shall send 
written notification to all permitted facilities within the county 
in which the rules are being implemented that are or may be 
subject to the requirements of this Section informing them that 
they are or may be subject to the requirements of this Section. 
(For Mecklenburg County, "Director" means for the purpose of 
notifying permitted facilities in Mecklenburg County, the 
Director of the Mecklenburg County local air pollution control 
program.) Compliance shall be in accordance with Rule . 1 403 of 
this Section. 

(d)£e} If a violation of the ambient air quality standard for 
ozone is measured in accordance with 40 CFR 50.9 in Davidson, 
Forsyth, or Guilford County or that part of Davie County 
bounded by the Yadkin River, Dutchmans Creek, North Carolina 
Highway 801, Fulton Creek and back to Yadkin River, the 
Director shall initiate analysis to determine the control measures 
needed to attain and maintain the ambient air quality standard for 
ozone. By the following May 1 , the Director shall implement the 
specific stationary source control measures contained in this 
Section that are required as part of the control strategy necessary 
to bring the area into compliance and to maintain compliance 
with the ambient air quality standard for ozone. The Director 
shall implement the rules in this Section identified as being 
necessary by the analysis by notice in the North Carolina 
Register. The notice shall identify the rules that are to be 



implemented and shall identify whether the rules implemented 
are to apply in Davidson, Forsyth, or Guilford County or that 
part of Davie County bounded by the Yadkin River, Dutchmans 
Creek, North Carolina Highway 801, Fulton Creek and back to 
Yadkin River or any combination thereof. At least one week 
before the scheduled publication date of the North Carolina 
Register containing the Director's notice implementing rules in 
this Section, the Director shall send written notification to all 
permitted facilities within the county in which the rules are being 
implemented that are or may be subject to the requirements of 
this Section informing them that they are or may be subject to 
the requirements of this Section. (For Forsyth County, 
"Director" means for the purpose of notifying permitted facilities 
in Forsyth Coimty, the Director of the Forsyth County local air 
pollution control program.) Compliance shall be in accordance 
with Rule .1403 of this Section. 

(e)(f) If a violation of the ambient air quality standard for 
ozone is measured in accordance with 40 CFR 50.9 in Durham 
or Wake County or Dutchville Township in Granville County, 
the Director shall initiate analysis to determine the control 
measures needed to attain and maintain the ambient air quality 
standard for ozone. By the following May 1, the Director shall 
implement the specific stationary source control measures 
contained in this Section that are required as part of the control 
strategy necessary to bring the area into compliance and to 
maintain compliance with the ambient air quality standard for 
ozone. The Director shall implement the rules in this Section 
identified as being necessary by the analysis by notice in the 
North Carolina Register. The notice shall identify the rules that 
are to be implemented and shall identify whether the rules 
implemented are to apply in Durham or Wake County or 
Dutchville Township in Granville County or any combination 
thereof At least one week before the scheduled publication date 
of the North Carolina Register containing the Director's notice 
implementing rules in this Section, the Director shall send 
written notification to all permitted facilities within the county 
in which the rules are being implemented that are or may be 
subject to the requirements of this Section informing them that 
they are or may be subject to the requirements of this Section. 
Compliance shall be in accordance with Rule .1403 of this 
Section. 

(f)(g) This Section does not apply to: 

( 1 ) any sources not required to obtain an air permit under 
15ANCAC2Q.0102; 

(2) any incinerator, or thermal or catalytic oxidizer used 
primarily for the control of air pollution; 

(3) emergency generators; 

(4) emergency use internal combustion engines; 

(5) stationary combustion turbines constructed before 
January 1 , 1 979, that operate no more than 1 6 hours 
from Ap r il 1 May 1 through September 30; O ct ob er 

3+: 

(6) facilities with a federally enforceable potential to emit 
nitrogen oxides of 

(A) less than 100 tons per year; and 

(B) less than 560 pounds per calendar day from 
Ap r il 1 May 1 through Oc t ob e r 3 1 . September 
30. 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1974 



PROPOSED RULES 



Authority G.S. 143-215. 3(a)(1); 143-215. 107(a)(5). 

.1403 COMPLIANCE SCHEDULES 

(a) This Rule applies to all sources covered by Paragraph (b) 
or(c) of Rule .1402 of this Section. 

(b) The owner or operator of a source subject to this Rule 
because of the applicability of Paragraphs (c), (d), o r (e) (d), (e), 
or (O of Rule .1402 of this Section, shall adhere to the following 
increments of progress and schedules: 

(1) If compliance with this Section is to be achieved 
through a demonstration to certify compliance without 
source modification: 

(A) The owner or operator shall notify the Director 
in writing within six months after the Director's 
notice in the North Carolina Register that the 
source is in compliance with the applicable 
RACT limitation or RACT standard; 

(B) The owner or operator shall perform any 
required testing within 12 months after the 
Director's notice in the North Carolina Register 
to demonstrate compliance with the applicable 
RACT limitation in accordance with Rule 
.1404 of this Section; and 

(C) The owner or operator shall implement any 
required recordkeeping and reporting 
requirements within 12 months after the 
Director's notice in the North Carolina Register 
to demonstrate compliance with the applicable 
RACT standard in accordance with Rule .1404 
of this Section. 

(2) If compliance with this Section is to be achieved 
through the installation of combustion modification 
technology or other source modification: 

(A) The owner or operator shall submit a permit 
application and a compliance schedule within 
six months after the Director's notice in the 
North Carolina Register. 

(B) The compliance schedule shall contain the 
following increments of progress: 

(i) a date by which contracts for installation 
of the modification shall be awarded or 
orders shall be issued for purchase of 
component parts; 

(ii) a date by which installation of the 
modification shall begin; 

(iii) a date by which installation of the 
modification shall be completed; and 

(iv) if the source is subject to a RACT 
limitation, a date by which compliance 
testing shall be completed. 

(C) Final compliance shall be achieved within three 
years after the Director's notice in the North 
Carolina Register unless the owner or operator 
of the source petitions the Director for an 
alternative RACT limitation in accordance with 
Rule . 1 4 1 2 of this Section. If such a petition is 
made, final compliance shall be achieved 
within four years after the Director's notice in 



the North Carolina Register. 

(3) If compliance with this Section is to be achieved 
through the implementation of an emissions averaging 
plan as provided for in Rule .1410 of this Section: 

(A) The owner or operator shall abide by the 
applicable requirements of Subparagraphs 
(b)( 1 ) and (b)(2) of this Rule for certification 
or modification of each source to be included 
under the averaging plan; 

(B) The owner or operator shall submit a plan to 
implement an emissions averaging plan in 
accordance with Rule .1410 of this Section 
within six months after the Director's notice in 
the North Carolina Register. 

(C) Final compliance shall be achieved within one 
year after the Director's notice in the North 
Carolina Register unless implementation of the 
emissions averaging plan requires the 
modification of one or more of the averaging 
sources. If modification of one or more of the 
averaging sources is required, final compliance 
shall be achieved within three years. 

(4) If compliance with this Section is to be achieved 
through the implementation of seasonal fiiel switching 
program as provided for in Rule .141 1 of this Section: 

(A) The owner or operator shall make all necessary 
modifications in accordance with 
Subparagraph (b)(2) of this Rule. 

(B) The owner or operator shall include a plan for 
complyingwiththerequirementsofRule .141 1 
of this Section with the permit application 
required under Part (A) of this Subparagraph. 

(C) Final compliance shall be achieved within three 
years after the Director's notice in the North 
Carolina Register. 

(c) The owner or operator of a source subject to this Rule 
because of the applicability of Paragraph (b) of Rule .1402 of 
this Section, shall adhere to the following increments of progress 
and schedules: 

(1) The owner or operator shall notify the Director in 
writing by December \^ 2000. whether the source 
intends to comply with 15A NCAC 2D .1416rb) or 
with 1 5 A NCAC 2D . 1 4 1 6(c) and if a extension will 
be sought through early emissions reductions credits 
under 15A NCAC 2D . 14 17. 

(2) If compliance with this Section is to be achieved 
through a demonstration to certify compliance without 
source modification: 

(A) The owner or operator shall notify the Director 
in writing by December 1 . 2000. that the source 
is in compliance with the applicable limitation 
or standard; 

(B) The owner or operator shall perform any 
required testing by October \^ 2001. to 
demonstrate compliance with the applicable 
limitation according to Rule .1404 of this 
Section and Rule .050 1 of this Subchapter; and 

(C) The owner or operator shall implement any 



7975 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



(3} 



required recordkeeping and reporting 

requirements by October \^ 2001. to 

demonstrate compliance with the applicable 

standard according to Rule .1404 of this 

Section. 

If compliance with this Section is to be achieved 

through the installation of combustion modification 

technology, emission control equipment, or other 

source modification: 



(A) 



m 



The owner or operator shall submit a permit 

application and a compliance schedule by Ap ril 

1. 2001. 

The compliance schedule shall contain the 

following increments of progress: 
(i) a date by which contracts for installation 
of the modification or emission control 
equipment shall be awarded or orders 
shall be issued for purchase of 
component parts; 

(ii) a date by which 
modification or 



installation of the 
emission control 



equipment shall begin; 
a date by which installation of the 
modification or emission control 
equipment shall be completed; and 
(iv) a date by which compliance testing shall 
be completed, which shall be at least 60 
days before the final compliance date in 
Part (C) of this Subparagraph. 
(C) Final compliance shall be achieved by: 

(ii) April 30. 2003, for sources complying 

with 15A NCAC 2D ■1416(b) or 
(iii) April 30. 2005. for sources complying 
with 1 5 A NCAC 2D . 1 4 1 6(c) with such 
exceptions as allowed under 15A 
NCAC 2D . 141 7. 
(c)(d) The owner or operator shall certify to the Director, 
within five days after the deadline for each increment of 
progress in Paragraph (b) or (c} of this Rule, whether the 
required increment of progress has been met. 

td)(e) With such exception as the Director may allow, the 
owner or operator of any source subject to this Rule shall 
continue to comply with any applicable requirements for the 
control of nitrogen oxides until such time as the source complies 
with applicable rules in this Section or until the final compliance 
date set forth in this Rule, which ever comes first. The Director 
may allow the following exceptions: 

(1) testing of combustion control modifications; or 

(2) adding or testing equipment or methods for the 
application of RACT. a requirement in this Section. 

(cWf) The owner or operator of any new source of nitrogen 
oxides not in existence or under construction as of the date the 
Director notices in the North Carolina Register in accordance 
with Paragraphs (c), (d), or (e) Idllel or (f} of Rule .1402 of 
this Section, shall comply with all applicable rules in this Section 
upon start-up of the source. 

Authority G.S. 143-215. 3(a)(1); 143-215. 107(a)(5); 143-215.65. 



.1404 RECORDKEEPING: REPORTING: 
MONITORING: 

(a) The owner or operator of any source subject to the 
requirements of this Section shall comply with the monitoring, 
recordkeeping and reporting requirements in Section .0600 of 
this Subchapter and shall maintain all records necessary for 
determining compliance with all applicable RACT limitations 
and standards of this Section for at least five years after. 

(b) When requested by the Director, the owner or operator of 
any source subject to the requirements of this Section shall 
submit to the Director any information necessary to determine 
the compliance status of an affected source. 

(c) Within 30 days of becoming aware of an occurrence of 
excess emissions from a source subject to the requirements of 
this Section, the owner or operator shall notify the Director and 
provide the following information: 

( 1 ) the name and location of the facility; 

(2) the source that caused the excess emissions; 

(3) the time and date the excess emissions were 
discovered; 

(4) the cause and duration of the excess emissions; 

(5) for sources subject to a RACT limitation, the 
estimated rate of emissions and the data and 
calculations used to determine the magnitude of the 
excess emissions; and 

(6) the corrective actions and schedule proposed to 
correct the conditions causing the excess emissions. 

(d) The owner or operator of a utility boiler covered under 
Rule .1402(b) of this Section shall install, operate, and maintain 
a continuous emission monitoring system according to 40 CFR 
Part 75. Subpart H. Wlien r equired, the The owner or operator 
of a sou r c e all other sources, including stationary reciprocating 
internal combustion engines, subject to the requirements of this 
Section using a continuous emissions monitoring system to 
measure emissions of nitrogen oxides shall operate and maintain 
a continuous emission monitoring system in accordance with 
according to 40 CFR, Part 60, Appendix F. 

(e) Data from continuous emissions monitoring systems shall 
be available for at least 95 percent of the operating hours for the 
applicable averaging period, where four equally spaced readings 
constitute a valid hour. If data from continuous emission 
monitoring systems is not available for at least 95 percent of the 
time that the source is operated, the procedures in 40 CFR 75.33 
shall apply. 

(JQ The owner or operator of a utility boiler covered under 
Rule .1402(b) of this Section shall report to the Director no later 
than 30 days following the end of each month beginning with 
May and ending with September the daily calculated nitrogen 
oxides emission rates expressed in pounds per million Btu and 
tons per day for each utility boiler. 

(f)(g) When compliance with a RACT limitation established 
for a source subject to the requirements of this Section is 
determined using a continuous emissions monitoring system, a 
24-hour block average as described under Rule .0606 of this 
Subchapter shall be recorded for each day rolling ave r age 
compu t ed and reco r ded each hou r from April 1 May i through 
September 30 Oc to be r 31 shal l be u s e d, unless a specific rule 



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1976 



PROPOSED RULES 



requires a different averaging time or procedure. 

(g){h} When compliance with a RACT limitation established 
for a source subject to the requirements of this Section is not 
determined using a continuous emissions monitoring system, 
compliance shall be determined using source testing in 
accordance with 40 CFR, Part 60, Appendix A, or any 
equivalent test method, approved by the Director. Where source 
testing is used to determine compliance with a RACT limitation 
established in a c co r dance wi t h according to this Section, testing 
shall be conducted at least annually in accordance with Rule 
.1415 of this Section. 

Authority G.S. 1 43-2 15.3(a)(1); 143-215. 107(a)(5); 143-215.65; 
143-215.66. 

.1411 SEASONAL FUEL SWITCHING 

(a) This Rule shall not apply to facilities covered under Rule 
.1402(b) of this Section. 

(a)(b} TTie owner or operator of a utility or non-utility coal- 
fired boiler subject to the requirements of this Section as 
determined by Rule . 1 402 of this Section may elect to complv by 
applying a p ply RACT t lirough t he seasonal combustion of 
natural gas in acco r dance with according to Paragraph ftr) (c) of 
this Rule. This option is not available to a boiler that used 
natiu"al gas as its primary fuel in 1 990 or has used natural gas as 
its primary fuel during any year since 1990. Compliance with 
this Section i n acco r dance wi t h according to this Rule does not 
remove or reduce any applicable requirement of the Acid Rain 
Program. 

ftr)(c) The owner or operator electing to comply with the 
requirements of this Section through the seasonal combustion of 
natural gas shall establish a NO, emission limit for November 1 
October 1 through Ma r ch 31 April 30 that will result in annual 
NO, emissions of less than or equal to the NO, that would have 
been emitted if the source complied with the applicable RACT 
limitation for the combustion of coal for the entire calendar year. 
Compliance with this Section in acco r dance w it h according to 
this Rule does not remove or reduce any applicable requirement 
of the Acid Rain Program. 

(c)(d} To comply with the requirements of this Section 
through the seasonal combustion of natural gas, the owner or 
operator shall submit to the Director the following information: 
(1) the name and location of the facility; 

information identifying the source to use seasonal 

combustion of natiu"al gas for compliance; 

the maximum heat input rate for each source; 

a demonstration that the source will comply with the 

applicable RACT limitation for the combustion of 

coal from Ap r il 1 May \_ through Oc t ober 31; 

September 30; 

a demonstration that the source will comply with the 

NO, emission limitation established under Paragraph 

(b) (c) of this Rule from November 1 October \_ 

through Ma r ch 3 1 ; April 30; and 

a written statement from the natural gas supplier 

providing reasonable assurance that the fuel will be 

available from April 1 May 1 through Oc t ober 31. 

September 30. 



(2) 

(3) 
(4) 



(5) 



(6) 



Authority G.S. 143-215.3(a)(l);143-215. 107(a)(5). 



.1416 REQUIRED EMISSIONS REDUCTIONS AT 
UTILITY COMPANIES 

(a) Companies that own or operate coal-fired utility boilers 
subject to 15A NCAC 2D .0536 or .0524 shall comply with 
either Paragraph (b} or (c) of this Rule. The company shall 
choose the control option. 

("b) Companies subject to this Rule shall comply by reducing 
emissions of nitrogen oxides from facilities in Catawba, Gaston. 
Person, or Stokes counties with coal-fired utility boilers whose 
total nameplate capacity at the facility is greater than 700 
megawatts to no more than 0.15 pounds per million Btu heat 
input. Emissions from a coal-fired utility boiler covered under 
this Paragraph shall not exceed the tons per day computed using 
the equation in Paragraph (d) of this Rule, substituting 0.15 
pounds per million Btu for the 0.25 pounds per million Btu 
factor in the equation. 

(c) Except as allowed under Rule .1417 of this Section, 
companies subject to this Rule shall comply by reducing 
nitrogen oxide emissions from utility boilers owned by that 
company in North Carolina such that the emissions of nitrogen 
oxides from each boiler is no more than: 

(1) 0.25 pounds of nitrogen oxides per million Btu heat 
input. 24-hour block average, and 

(2) the tons per day as computed by the procedure in 
Paragraph (d) of this Rule, or 

the limit set under the procedures of Paragraphs (e) and (f) of 
this Rule. 



If emissions reduction credits are used, the company shall 
comply with the allowable emission rates set by the Director 
under Rule .1417 of this Section. 

(d) The tons-per-day allowable rate under Paragraph (c) of 
this Rule shall be computed for each boiler using the following 
equation: 

allowable rate in tons per day = (0.25 pounds per million 
Btu) X (average daily capacity factor of the boiler 
between May 1 and September 30 for 1997. 1998. and 
1999) X (heat input in million Btu per hour contained in 
the "emission source description" of its permit) x (24 
hours per day) ^ (2000 pounds per ton). 

(e) The option in this Paragraph does not apply to facilifies 
that comply with this Rule under Paragraph (b) of this Rule. 
Companies subject to this Rule may complv using an alternative 
mix of controls for boilers covered under this Rule than required 
under Paragraph (c) of this Rule if the reduction of emissions of 
nitrogen oxides is greater than or equal to the emissions t hat 
would have been obtained by meeting the emission limits under 
Paragraph (c) of this Rule. To use this option the companies 
involved in the alternative mix of controls shall submit the 
following written documentation to the Director as part of the 
initial report required under Rule . 1 403(c)( 1 ) of this Secfion and 
as part of the permit application required under Rule . 1 403(c)(3) 
of this Section and any subsequent application for revision to its 
permits involving an alternative mix of controls: 

(1) the names and locations of the facilities and boilers 
involved in the reductions; 

(2) information identifying each boiler to be included in 



7977 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



the reductions; 

(3) the maximum heat input rate for each boiler; 

(4) the fuel or fuels combusted by each boiler; 

(5) the maximum nitrogen oxide emission rate proposed 
in pounds per million Btu and tons p er day for each 
boiler; 

(6) a demonstration that the resulting emissions 
reductions of nitrogen oxide emissions is greater than 
or equal to that specified in Paragraph (c) of this Rule; 
and 

(7) a description of the monitoring and recordkeeping 
plan that will assure compliance with the required 
reduction. 

(f) If the Director finds that the requirements of Paragraph (e) 
of this Rule are satisfied and that the altematiye mix of controls 
will achieye a reduction in emissions of nitrogen oxides greater 
than or equal to the reduction that would have been obtained by 
meeting the emission limits under Paragraph (c) of this Rule, the 
Director may approve the alternative mix of controls. If the 
Director approves the alternative mix of controls, he shall put in 
the permits of each facility and boiler involved in the alternative 
mix of controls the allowable emission rates for nitrogen oxides 
and the monitoring, recordkeeping, and reporting requirements 
necessary to determine compliance with the allowable emission 
rates. 



(g) All emission control equipment and techniques shall be 
operated from May 1 through September 30 in the manner in 
which they are designed or permitted to be operated. 

(h) If early emissions reduction credits are used, after May 1 . 
2005. emissions from coal-fired utility boilers shall not exceed 
the sum of the tons per season (May 1 through September 30) 
computed using the equation in Paragraph (d) of this Rule times 
153 days per season. 

(i} If early emissions reduction credits are not used, after May 
1 . 2005. emissions from a coal-fired utility boiler covered under 
this Rule shall not exceed the tons per day computed using the 
equation in Paragraph (d) of this Rule with the exception of 
sources using a different mix of controls as allowed under 
Paragraph (e) of this Rule. 

(]} The Environmental Management Commission may specify 
through rule-making a specific emission limit lower than that 
established under this Rule for a specific unit if compliance with 
the lower emission limit is required as part of the State 
Implementation Plan to attain or maintain the ambient air quality 
standard for ozone. 

AuthorityG.S. 143-215. 3(a)(l):143-2l5. 107(a)(5): 143-215.65; 
143-215.66. 

.1417 EARLY EMISSIONS REDUCTION CREDITS 
FOR UTILITY COMPANIES 

(a} Electric utility companies covered under Rule .1416 of 
this Section that choose the control option allowed under Rule 
.1416(c) of this Section may receive emissions reduction credits 
for those nitrogen oxide emissions reductions required by 2D 
■ 1416 that are: 

(1) beyond emission reductions required under 40 CFR 
Part 76. Acid Rain Nitrogen Oxides Emission 



Reduction Program and 
(2) achieved after May 1 . 1 999 and before September 30. 
2003. 

(b) The emissions reduction credits earned under the auspices 
of this Rule shall be tabulated in terms of tons of nitrogen oxides 
reduced per season (a season is from May 1 through September 
30). To be credible, the emission reductions have to be 
permanent. Only emission reductions beyond emission 
reductions required under 40 CFR Part 76 are credible- 
Emissions reduction credits are counted in successive seasons 
through September 30. 2003. Seasonal emissions reduction 
credits shall be recorded in a Division of Air Quality data base 
and will accumulate in this data base until September 30. 2003. 
At that point a cumulative total of all the emissions reduction 
credits earned during the entire period shall be tabulated in terms 
of tons per ozone season for each company that participates in 
this program. These credits will then be available for use by 
their respective companies to offset emissions in excess of that 
allowed under 1 5 A NC AC 2D . 1 4 1 6(c) or (e) after May 1 . 2005. 
on a one for one basis for a period not to exceed September 30. 
2006. 

(c) In order to earn emissions reduction credits each company 
shall provide the following written documentation to the 
Director: 

(JQthe boiler or boilers involved in the emissions 
reduction; 

(2) the start date of the emissions reduction; 

(3) a description of the add-on control device, 
modification or change in operational practice that 
will permit the boiler or boilers to achieve the 
emissions reduction; 

(4) the current, or baseline, emissions of nitrogen oxides 
of the boiler or boilers involved in t his reduction in 
terms of tons of nitrogen oxides per season; 

(5} the amount of reduction of emissions of nitrogen 
oxides that will be achieved by this action in terms of 
tons of nitrogen oxides per season per boiler involved; 

(6}the total reduction of nitrogen oxides that will be 
achieved by this action in terms of tons of nitrogen 
oxides per season for all the boilers involved; 

(7) a demonstration that the proposed action will indeed 
reduce the emissions of nitrogen oxides from the 
boilers involved by the amount specified in 
Subparagraphs (c)(5) and (c)(6) of this Rule; and 

(8) a description of the monitoring, recordkeeping, and 
reporting plan that will assure continued compliance 
with the proposed emissions reduction activity. 

(d) Before any emissions reduction credits can be used, the 
Director shall have to approve them. The Director may approve 
emissions reduction credits if he finds that: 

(1) early emissions reductions are beyond the reductions 
required under 40 CFR Part 76. Acid Rain Nitrogen 
Oxides Emission Reduction Program. 

(2) the emission reductions are achieved after March 10. 
1999. and before September 30. 2003. 

(3) the emission reductions are permanent, and 

(4) all the information and documentation required under 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1978 



PROPOSED RULES 



Paragraph (c) of this Rule has been submitted. 

(e) If the Director approves the proposed early emissions 
reduction action, the Director shall enter into the permits of the 
involved sources the new allowable emission rates for nitrogen 
oxides and the monitoring, recordkeeping, and reporting 
requirements necessary to determine compliance with the new 
allowable emission rates. 

(f) If the Director approves the proposed early emissions 
reduction action, the Division shall record the early emissions 
reduction credits earned by this activity in a central data base. 
This data base will be maintained by the Division of Air Quality. 
These credits shall be recorded in terms of tons of emissions of 
nitrogen oxides reduced per season with the actual start date of 
the reduction activity. To be counted as emissions reduction 
credits, the company shall report by December 1 of each year the 
emission reductions achieved between May 1 and September 30 
of that year. 

(g) These emissions reduction credits shall then be available 
for use by their respective companies either individually or 
jointly to offset exceedances of the emissions of nitrogen oxides 
by that company in order to achieve compliance with ISA 
NCAC 2D .1416(c) or (e) after May 1. 2005. The credits shall 
be used on a one for one basis, that is^ one ton per season of 
credit can be used to offset one ton, or less, per season of excess 
emissions to achieve compliance with the requirements of 1 5 A 
NCAC 2D .1416(c) or (e). All credits shall expire and will no 
longer be available for use after September 30. 2006. 

(h) Each company using emissions reduction credits shall 
report to the Director by December J^ 2005. the emission s 
reduction credits used between May 1 and September 30. 2005 
and by December 1 . 2006. the emissions reduction credits used 
between May 1 and September 30. 2006. 

AuthorityG.S. 143-215. 3(a)(l);l43-215. 107(a)(5); 143-215.65; 
143-215.66. 

ic-kie'k'k'k'k'k'kic'k'k-k-k-k-kie'kit'k'k 

Notice is hereby given in accordance with G.S. 150B-21.2 
that the DENR - Environmental Management Commission 
intends to adopt the rule cited as ISA NCAC 2H .0227. Notice 
of Rule-making Proceedings was published in the Register on 
March 15. 2000. 

Proposed Effective Date: April 1, 2001 

A Public Hearing will be conducted at 6:00 p.m. on June 6, 
2000 at the Western Piedmont Community College, Moore Hall 
-Main Campus, 1001 Burckmont Ave., Morganton, NC 28655 
and June 8, 2000 at 6:00 p.m., Archdale Building, Ground 
Floor, 512 N. Salisbury Street, Raleigh, NC. 

Reason for Proposed Action: With the enactment of HB 1 160, 
1999 N.C. Se.'is. Laws ch. 329, a new permitting program was 
required by the General Assembly. The new permitting program 
for systemwide collection system permits will be a permanent 
program. This rule establishes the requirements of collection 



system owners, the procedures for issuing new permits, renewal 
of permits, and the scope of the program. The requirements will 
be needed on a continual basis. 

Comment Procedures: Written comments may be submitted to 
Kim H. Colson, Division of Water Quality, Water Quality 
Section, Non-Discharge Permitting Unit, 1617 Mail Service 
Center, Raleigh, NC 27699-1617. An information package may 
be obtained by contacting the Non-Discharge Permitting Unit at 
(91 9) 733-5083 (ext. 5 74 or 524). Comments should be received 
by June 15, 2000. 



Fiscal Impact 
State Local 
/ 



Sub. None 



CHAPTER 2 - ENVIRONMENTAL MANAGEMENT 

SUBCHAPTER 2H - PROCEDURES FOR PERMITS: 
APPROVALS 

SECTION .0200 - WASTE NOT DISCHARGED TO 
SURFACE WATERS 

.0227 SYSTEM-WIDE COLLECTION SYSTEM 
PERMITTING 

(a) In accordance with the North Carolina Clean Water Act 
of 1999. S, L 1999 a 329, s, 11.2. the Director may issue 
system-wide permits for collection systems. 

(b) The following definitions apply to this Section: 

(1) "Collection system" means a group of contiguous 
sewer systems that convey municipal or domestic 
wastewater to a wastewater treatment facility or 
separately-owned sewer system. 

(2) "High-priority sewer line" means any aerial line, sub- 
waterway crossing, line contacting surface waters, 
siphon, line positioned parallel to streambanks that are 
subject to eroding in such a manner that may threaten 
the sewer line, or line designated as high priority in a 
permit. 

(c) Permit applications for the initial issuance of a collection 
system permit shall be completed and submitted to the Division 
within 60 days of the collection system owner's receipt of the 
Division's request for application submittal. The Division shall 
request the initial application submittal by certified mail. Permit 
renewal requests shall be submitted to the Director at least 180 
days prior to expiration, unless the permit has been revoked in 
accordance with Rule .0213 of this Section. All applications 
must be submitted in triplicate and made on official forms 
completely filled out, where applicable, and fully executed. 

(d) Collection systems that have a design flow and convey an 
actual flow less than 200.000 gallons per day shall be deemed to 
be permitted pursuant to G.S. 143-21 5. 1(by4)e. and it shall not 
be necessary for the Division to issue individual permits for the 
operation and maintenance of these systems and their associated 
management programs provided that the following criteria are 
met: 

(1) The sewer system is effectively maintained and 



7979 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



operated at all times to prevent discharge to land or 
surface waters, and any contravention of the 
groundwater standards in 1 5A NCAC 2L .0200 or the 
surface water standards in 15A NCAC 2B .0200; 

(2) A ma p of the sewer system has been developed prior 
to January 1 . 2004 and is actively maintained; 

(3) An operation and maintenance plan has been 
developed and implemented; 

(4) Pump stations that are not connected to a telemetry 
system are inspected at least three times per week 
until July l, 2000; thereafter, pump stations are 
inspected at least daily, as defined in 15A NCAC 2B 
.0503(5). until July L 2001; and thereafter, pump 
stations are inspected every day. Pump stations that 
are connected to a telemetry system are inspected at 
least once per week; 

(5) High-priority sewer lines are inspected at least once 
per every six-month period of time; 

(6) A general observation of the entire sewer system is 
conducted at least once per year; 

(7) Inspection and maintenance records are maintained 
for a period of at least three years; and 

(8) Overflows and bypasses are reported to the 
appropriate Division regional office in accordance 
with 15A NCAC 2B .Q506(a), and public notice is 
provided as required by G.S. 143-215. IC. 

£e} The Director may, on a case by case basis, determine that 
a collection system should not be deemed to be permitted in 
accordance with this Rule and require the owner of the 
collection system to obtain an individual collection system 
permit from the Division if: 

("O The owner of the collection system does not maintain 
compliance with the requirements of Paragraph (d) of 
this Rule; or 
(2) The collection system is determined to be contributing 
to the impairment of surface waters specified on the 
Division's list generated as a result of the Federal 
Water Pollution Control Act (Clean Water Act) 
Section 303(d). 33 U.S.C. Section 1313(d). 

Authority G.S. 143-215. 1(a); 143-215. 3(a).(d); North Carolina 
Clean Water Act of 1999. 



TITLE 18 - SECRETARY OF STATE 

Notice is hereby given in accordance with G.S. 150B-21.2 
that the Secretary of State intends to amend rules cited as 
18 NCAC 6 .1402, .141 3, .1709. Notice of Rule-making 
Proceedings was published in the Register on March 1, 2000. 

Proposed Effective Date: April 1. 2001 

Instructions on How to Demand a Public Hearing (must be 
requested in writing within 15 days of notice): A public hearing 
may be scheduled by contacting David Massey, Deputy 
Securities Administrator at 300 N. Salisbury Street, Suite 100, 
Raleigh, NC 27603. (919)733-3924. Written requests for a 



public hearing must be received within 15 days after the Notice 
of Text is published. 

Reason for Proposed Action: As of January 1, 2000, NASAA 
implemented a revised Uniform Investment Advisor State Law 
Examination (known as a Series 65 Exam) and retired the Series 
65 Exam contemplated by 18 NCAC 6 .1709 that was in use 
prior to that due date. Additionally, as of January 1, 2000, 
NASAA requires that a person desiring to take the Uniform 
Combined State Law Examination (known as the 66 Exam) to 
qualify candidates as both securities agents and investment 
adviser representatives must pass the NASD General Securities 
Representatives Examination (known as the Series 7 Series 7 
Exam) as a co-requisite for taking the Series 66 Exam. 

Comment Procedures: Comments concerning these rules may 
be addressed to David S. Massey, Deputy Securities 
Administrator at 300 N. Salisbury Street, Suite 100, Raleigh, NC 
27603, (919)733-3924. Comments must be received no later 
than June 14, 2000. 



Fiscal Impact 
State Local 



Sub. 



None 



CHAPTER 6 - SECURITIES DIVISION 

SECTION .1400 - REGISTRATION OF DEALERS AND 
SALESMEN 

.1402 APPLICATION FOR REGISTRATION OF 
SALESMEN 

(a) The application for registration as a salesman shall contain 
the following: 

(1) an executed Uniform Application for Securities and 
Commodities Industry Representative andVor Agent 
(Form U-4) or the appropriate successor form; 

(2) a fee in the amount of fifty-five dollars ($55.00); 

(3) evidence of a passing grade of seventy percent on 
either 

£i} the Uniform Securities Agent State Law 

Examination(USASLE-Series 63); or, 
(ii) both the Uniform Combined State Law 
Examination (Series 66 Exam) and the General 
Securities Representative Examination (Series 
2 Exam), as well as the appropriate NASD 
examination as required by Rule .1413 of this 
Section. 

(b) The application for registration as a salesman shall be 
filed as follows: 

(1) NASD member dealers shall file all salesman 
applications for registration in the State of North 
Carolina with the NASAA/NASD Central 
Registration Depository, PtO: — Box — 37441, 
Wash i ng t on, B.C. 20013; P.O. Box 9401, 
Gaithersburg, MP 28898-9401. 

(2) Non-NASD member dealers shall file all salesman 
applications for registration in the State of North 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1980 



PROPOSED RULES 



Carolina directly with the Securities Division. 

(c) The salesman or the dealer for which the salesman is 
registered shall file with the administrator, as soon as practicable 
but in no event later than 30 days, notice of any disciplinary 
action taken against a salesman by any exchange of which the 
dealer is a member; the Securities and Exchange Commission; 
the Commodity Futures Trading Commission; any national 
securities association registered with the Securities and 
Exchange Commission pursuant to Section 1 5 A of the Securities 
Exchange Act of 1 934 or any state securities commission and of 
any civil suit, warrant, criminal warrant, or criminal indictment 
filed against the salesman alleging violation of any federal or 
state securities laws. If the information contained in any 
document filed with the administrator is or becomes inaccurate 
or incomplete in any material respect, the salesman or the dealer 
for which the salesman is registered shall file a correcting 
amendment as soon as practicable but in no event later than 
thirty days. Such filing is to be made by NASD member dealers 
and their salesmen to the NASAA/NASD Central Registration 
Depository and non-NASD member dealers and their salesmen 
shall make such filing directly with the Securities Division. 

(d) Registration becomes effective at noon of the 30''' day 
after a completed application is filed or such earlier time upon 
approval of the application by the administrator, unless 
proceedings are instituted pursuant to G.S. 78A-39. The 
administrator may by order defer the effective date after the 
filing of any amendment but no later than noon of the 30"' day 
after the filing of the amendment. 

(e) A salesman shall only be registered in this State with one 
dealer. 

Authority G.S. 78A-37(a); 78A-37(b); 78A-38(c); 78A-39(b)(4); 
8A-49(a). 

.1413 SALESMAN EXAMINATION REQUIRED 

(a) Every application for registration as a salesman shall show 
evidence of a minimum passing grade of 70% on either: 

(1) the Uniform Securities Agent State Law Examination 
(USASLE-Series 63); ol 

(2) both the Uniform Combined State Law Examination 
(Series 66 Exam) and the General Securities 
Representative Examination (Series 7 Exam) . The 
USASLE-Se r i e s — 63 — examina t ion — xs These 
examinations are given by the National Association of 
Securities Dealers (NASD). Each application for 
registration must also show that the applicant has 
passed the appropriate NASD exam applicable to 
applicants for registration as a securities salesman. 
The scheduled dates, times and locations may be 
obtained by contacting the NASD, 1735 K Stree t 
Northwes t , Washing t on, D.C. Central Registration 
Depository, P.O. Box 9401, Gaithersburg, MD 
28898-9401 (202) 728-8800 (301) 590-6500 or the 
Securities Division. 

(b) The requirement of Paragraph (a) of this Rule shall not 
apply to any salesman who has been registered continuously 
since April 1 , 1981; provided that a lapse in registration in this 
State of less than one year shall not require compliance with 



Paragraph (a) of this Rule. New registrants after April 1, 1981; 
who have not been registered previously in this State and 
previously registered salesmen in this State whose registration 
has lapsed for one year or more shall comply with Paragraph (a) 
of this Rule. 

(c) The administrator may, upon a showing of undue hardship 
good cause, waive the requirements of Paragraph (a) of this 
Rule. For purposes of this Rule, "good cause" for waiver of the 
examination requirement is shovm by a demonstration that the 
applicant's understanding of the ethics and legal guidelines 
a pplicable to securities salesmen is comparable to that shown bv 
evidence of a passing grade on the examination for which waiver 
is sought. 

(d) Termination of the salesman's registration with the NASD 
for violation of NASD rules shall automatically terminate the 
salesman's registration with the State of North Carolina. 

Authority G.S. 7 8A- 39 (b)(4); 78A-49(a). 

SECTION .1700 - REGISTRATION OF INVESTMENT 
ADVISERS AND INVESTMENT 
ADVISER REPRESENTATTVES 

.1709 EXAMINATIONS FOR INVESTMENT 

ADVISERS AND INVESTMENT ADVISER 
REPRESENTATIVES 

(a) — U n less o t he i- wise waived by the adminis t ra t o r , an 
inves t men t advise r r egis t e r ed o r r equi r ed to be r egis t e r ed unde r 
t he Act shall t ake and p ass the Unifo r m Inves t men t Advise r 
S t ate Law Examina t ion wi t h a sco r e of 70 o r be tt e r as a 
condition of r egis tr ation as an inves t men t advise r — If tlie 
investmen t advise r is no t an individual, an office r (if t he 
applican t is a coi p o r a t ion) o r a gene r al pai t nei (if t he a pp licant 
is a pai t ue isliip ) shall take and p ass t his examina t ion. 

(b) — Un less o t he r wise waived by the adminis tr a t o r , an 
inves t men t adviser r epresen t ative r egiste r ed o r r equi r ed t o be 
r egis t e r ed unde r t he Act shall t ake and pass t he U n i f o r m 
Inv e s t men t Adv i s er S t a te Law Examina t ion wi t h a sco re of 70 
p e rc e n t or b etter . 

(c) Any pe r son who was r e gis tere d as an inv e s t m e n t advise r 
o r investment advis e r repr e sen t a t iv e in t his sta te as of t he 
e ff e c t iv e da te of t hese Rul e s shall no t be requil ^e d to t ak e and 
pass t he Uniform Inves t m e n t Adviser Sta te Law Examina t i o n . 

(d) — An applican t who h as t aken and pass e d t h e Uniform 
Inv e s t men t Adviser Sta t e Law E x amina t ion with a scor e of 70 
p e rc e n t or be tte r within t wo y e ars prior to t h e da t e t h e 
a p plica t ion is filed wi t h the adminis t i ^ a t o r , or at any t im e if di e 
applican t has no t b e en inac t ive in th e inves t ment advisory 
b usiness for m ore t han t wo ye a r s when t h e applica t ion is fil e d, 
shall no t be requi r ed to take and pass t he Uniform Inves t men t 
Advis er S t at e Law Examina t i o n again. 

(a) Examination Requirements. A person applying to be 
registered as an investment adviser or investment adviser 
representative under the Investment Advisers Act shall provide 
the Administrator with proof that he or she has obtained a 
passing score on either: 

(1) The Uniform Investment Adviser Law Examination 
(Series 65 Exam); or 



1981 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



(2) The General Securities Representative Examination 
(Series 7 Exam) and the Uniform Combined State 
Law Examination (Series 66 Exam). 
In the event the appHcant for registration as an investment 
adviser is an entity, rather than an individual, the examination 
shall be taken on behalf of the applicant by one of its officers, a 
general partner, a manager, or other managing executive of 
comparable status and position. 

(b) Grandfathering. An individual who has not been 
registered in any jurisdiction for a period of two years shall be 
required to comply with the examination requirements of 
Paragraph (a) of this Rule. 

(c) Waivers. The examination requirement shall not apply to 
an individual who currently holds one of the following 
professional designations: 

(1) Certified Financial Planner (CFP) awarded by the 
Certified Financial Planner Board of Standards, Inc.; 
Chartered Financial Consultant (ChFC) awarded by 
the American College, Bryn Mawr, Pennsylvania; 
Personal Financial Specialist (PFS) awarded by the 
American Institute of Certified Public Accountants; 
Chartered Financial Analyst (CFA) awarded by the 
Institute of Chartered Financial Analysts; 
Chartered Investment Counselor (CIC) awarded by 
the Investment Counsel Association of America, Inc.; 
or 
Such other professional designation as the 



Cosmetic Art Examiners, 
27609. 



1201-110 Front St., Raleigh, NC 



(2} 
13} 
Ml 
£5} 



£6} 



Administrator may by order recognize. 



Authority G.S. 78C-19(b)(5): 78C-30(a): 78C-30(b). 



TITLE 21 - OCCUPATIONAL LICENSING BOARDS 

CHAPTER 14 - BOARD OF COSMETIC ART 
EXAMINERS 

Notice is hereby given in accordance with G.S. 150B-21.2 
that the N.C. State Board of Cosmetic Art Examiners 
intends to adopt the rule cited as 21 NCAC 140 .0105 and 
amend rules cited as 21 NCAC 14A .0101; 141 .0104, .0106, 
.0401; 14P.0107, .0108, .0115 and repeal the rule cited as 21 
NCAC 14P .0103 Notice of Rule-making Proceedings was 
published in the Register on February 15, 2000 and March 1, 
2000. 

Proposed Effective Date: April 1, 2001 

A Public Hearing will be conducted at 9:00 a.m. on May 30, 
2000 attheN.C. State Board of Cosmetic Art Examiners, 1201- 
110 Front St, Raleigh, NC 27609. 

Reason for Proposed Action: To update the school curriculum 
and to add additional civil penalties. 

Comment Procedures: Written comments concerning this 
rule-making action must be submitted by June 16, 2000 to Dee 
Williams, Rule-Making Coordinator, N.C. State Board of 



Fiscal Impact 
State Local 



Sub. None 



•^- 21 NCAC 14A .0101, 141 ,0104 .0106, .0401 

- 21 NCAC 14P .0103, .0105, .0107, .0108 
/^-21NCAC14P.0115, 140.0106, 14P.0115 



SUBCHAPTER 14A - DEPARTMENTAL RULES 

SECTION .0100 - ORGANIZATIONAL RULES 

NOTE: The text in bold has been approved by Rules 
Review and waiting for 2000 session. 



.0101 

The 

(1) 

m 

(3) 



(4) 

(5)(2} 

m 
m 

mm 

(W)£4i 



le t h o ds 



DEFINITIONS 

following definitions apply in this Chapter: 

"Beauty Establishment" refers to both cosmetic art 

schools and cosmetic art shops. 

"Boa r d" r efe rs t o t he No rt h Ca r olina S t a t e Boa r d 

of Cosmetic A rt Exami n e r s. 

"Cosmeti c A rt S c hool" r efe r s t o any plac e whe re 

cosmetic art, as defi 

of t eaching cosme t i c a rt a r e t augh t 

of licensing by t he Board r ega r dless i 

t h e school or p r ogram. 

"Cosmetic Art Sho p " r efe r s t o any 

p art t he r eof, whe r ein cosmetic art, as t 

G.S. 88-2, is p r acticed, o t he r t han a cosmetic a rt 

school. 

"Cosmetology School" is any cosmetic art school 

which teaches cosme t ology cosmetic art as defined 

by G^. 88-2, Pa r ag r a p h 2 , G.S. 88B-2£51, but is not 

a manicurist school. 

"E st heticia n S tuden t " is a s t uden t i n aTrrc osm et i c 




a rt school whose stm 
c urri c ulum se t f ortlrf 




AC 14O.010 2: 



"C o sm et ology S t uden t " — is a s t uden t in any 
co sme t i c ar t s c h o ol wi t h t he e xce p t i o n o f a 
ma n icu r is t s t ud e n t . 

"Cosme t ology Teacher" is any te a c he r who is 
li c ensed by t he Board t o t ea c h t he c osme t ic ar ts . 
Ma n i c uri n g" is t ha t se t of cosm e t ic ar t s r e la t ed t o 
t h e n a i l s , hands, arms a n d fee t . I t in c lud es 



tr adi ti onal i 



I and hand 



I nia n i c unng, p edi c u r ing, a rm ; 
massages, and all t ypes of artificial nail s . 

"Manicurist School" is a cosmetic art school which 
teaches only the cosmetic arts of manicuring. 
"Manicurist Student" is a student in any cosmetic art 
school whose study is limited to the manicurist 
curriculum set forth in 21 NCAC 14K i^Wt. .0102. 
"Mani c u r is t Teache r " is a t ea c h e r who is lic e ns e d 
by t h e Boa r d t o t each only t he mani c u r in g 
curri c ulum. 

"B o o th " is a work s t a t i o n wi t hin a co sme t i c ar t 
s ho p whi c h is used p rimarily by on e c o sm eto l ogi s t 
o r mani c uris t i n p e r forming co sme t i c a rt s ei' v ice s 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1982 



PROPOSED RULES 



t«)£51 " Successfully "Successful Completion" is the 
completion of an a pproved cosmetic art 
curriculum with a minimum grade of "C" or 70%, 
whichever is deemed as passing by the cosmetic art 
school. 

(W)(6} "Esthetician School" is any cosmetic art school 

which teaches only the cosmetic arts of skin care. 

(6)(7) "Esthetician S tudent" is a student in any cosmetic 

art school whose study is limited to the esthetician 

curriculum set forth in 21 NCAC 140 .0102 . 

b y t he Boa r d t o t ea c h on hr — t he es t heticia n 
cu r riculum. 

(8) "Esthetics" refers to any of the following practices: 
giving facials, applying makeup, performing skin care, 
removing superfluous hair from the body of any 
person by the use of depilatories, tweezers or waxing. 
or applying eyelashes to any person (this is to include 
brow and lash color), beautifying the face, neck, arms 
or upper part of the human body, by use of cosmetic 
preparations, antiseptics, tonic, lotions or creams, 
massaging, cleaning, or stimulating the face, neck, 
ears, arms, hands, bust, torso, legs or feet, by means 
of the hands, devices, apparatus, or appliances, with 
the use of cosmetic preparations, antiseptics, tonics, 
lotions or creams. 

Authority G.S. 88B-2; 88B-4. 

SUBCHAPTER 141 - OPERATIONS OF SCHOOLS OF 
COSMETIC ART 

SECTION .0100 - RECORD KEEPING 

.0104 WITHDRAWALS 

(a) When a student who is enrolled in a cosmetic art school 
withdraws from such school, whether by reason of transfer to 
another school, dismissal, suspension, voluntary disenrollment, 
or for any reason other than g r adua t ion, graduation a r epor t 
t he r eof s hall be f oi' wa r d e d t o t he B o a r d wit hin 3 wo r ki n g 
days of wi t hd r awal, the cosmetic art school shall report the 
withdrawal to the Board within 30 working days. 

(b) Such report shall contain the following: 

( 1 ) name of the student, 

(2) Social Security number, 

(3) the last day of attendance, 

(4) the reason for withdrawal (if known), 

(5) the hours completed at the time of withdrawal, and 

(6) copy of all live mode l/mannequin performances 
completed at the time of withdrawal. 

(c) A student may elect to withdraw from a cosmetic art 
program up to Five school days from the first date of attendance- 
Hours earned during the time period prior to withdrawal will not 
be credited. 

Authority G.S. 88-23; 88-30. 



.0106 STUDENT DAILY RECORDS 

All daily records kept by a cosmetic art school on a student 
must be kept in the school's permanent files for future reference 
until the date the student is accepted for the state board 
examination or ten five years (effective November l_j 1998) after 
the date the student first enrolled in the school, whichever occurs 
earlier. 

Authority G.S. 88B-4(7a). 

SECTION .0400 - LICENSURE OF INDIVIDUALS 
WHO HAVE BEEN CONVICTED OF A FELONY 

.0401 APPLICATION/LICENSURE/INDIVIDUALS 
WHO HAVE BEEN CONVICTED OF A 
FELONY 

(a) In addition to other requirements, any applicant who has 
been convicted of a felony shall supply the following: 

(1) A statement of facts of the crime accompanied by a 
certified copy of the indictment (or, in the absence of 
an indictment, a copy of the "information" that 
initiated the formal judicial process), the judgment 
and the commitment order for each felony for which 
there has been a conviction. 

(2) A listing of each place of residence for the applicant 
since the date of conviction. The applicant shall give 
the specific address by city or town, county, and state, 
and the specific dates for each residency. 

(3) A copy of the applicant's restoration of rights 
certificate, if applicable. 

(4) At least three letters attesting to the applicant's 
character from individuals unrelated by blood or 
marriage. If available, one of these letters must be 
from someone familiar with the applicant's 
cosmetology training and experience, one from the 
applicant's probation or parole officer, and one from 
the applicant's vocational rehabilitation officer. If 
letters from persons in these positions are unavailable, 
the applicant shall submit an explanatory statement as 
to why they are unavailable. 

(5) The names and addresses of at least three other 
unrelated persons who have known the applicant for 
three or more years. 

(6) The name and address of the applicant's current or 
last employer. 

(7) A brief summary of the applicant's personal history 
since conviction including, if applicable, date of 
release, parole or probation status, employment, and 
military service. 

(8) Records of any cosmetology or manicurist school 
disciplinary actions. 

(9) A description of any pending criminal charges with a 
copy of the indictment or, if there is not yet an 
indictment, the arrest warrant for each pending 
charge. 

(10) Any other information which in the opinion of the 
applicant would be useful or pertinent to the 



1983 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



consideration by the Board of the applicant's request. 

(b) If a conviction was for an offense involving habitual drug 
or alcohol abuse, the applicant shall also provide verifiable 
evidence showing that he or she is drug/alcohol free. Examples 
of evidence which will be considered are: 

( 1 ) enrollment in an on-going licensed treatment program. 

(2) drug analysis test results, and 

(3) certification of completion of a licensed treatment 
program. 

(c) No applican t who has been convic t ed of a felony can be 
scheduled for an e x a m ina t ion before t he Boa r d can r eview the 
applica t ion. 

Authority G.S. 88B-4; 88B-24(1). 

SUBCHAPTER 140 - ESTHETICIAN CURRICULUM 

SECTION .0100 - ESTHETICIAN CURRICULUM 

.0105 IDENTIFICATION PINS 

Each student enrolled for an esthetics course only shall wear 
a pin stating "Esthetics ". The lettering on a pin must be easily 
read and in large print. 

Authority G.S. 88B-4. 

SUBCHAPTER 14P - CIVIL PENALTY 

SECTION .0100 - CIVIL PENALTY 

.0103 TEMPORARY EMPLOYMENT PERMIT 

The presumptive civil penalty for practicing cosmetology, 
manicuring, or esthetics with an expired temporary employment 
is: 

(1) P' offense waming/($ 100.00) 

(2) 2"" offense $250.00 

(3) 3"* off e ns e $500.00 

Authority G.S. 88B-24; 88B-12; 88B-29. 

.01 05 RENEWALS; EXPIRED LICENSES; LICENSES 
REQUIRED: 

(a) The presumptive civil penalty for operating a cosmetic 
art shop/school with an expired license is: 

(1) r' offense warning ($100.00) 

(2) 2°" offense $250.00 

(3) 3^" offense $500.00 

(b) The presumptive civil penalty for practicing 
cosmetology, manicuring, or esthetics with an expired license 
is: 

(1) 1" offense warning ($100.00) 

(2) '"" offense $250.00 

(3) 3^" offense $500.00 

(c) The presumptive civil penalty for teaching with an expired 
license is: 



(d) The presumptive civil penalty for allowing an apprentice 
to practice cosmetic art without direct supervision: 

(JQ 1^' offense $100.00 

(2} 2"'' offense $300.00 

(3j 3^'' offense $500.00 

(e) The presumptive civil penalty for operating a cosmetic art 
salon with an apprentice license: 

Q} P' offense $100.00 

(2} 2"' offense $300.00 

(3) 3^' offense $500.00 

Authority G.S 88B-4; 88B-21: 88B- 23(a); 88B-24:88B-29. 

.0107 LICENSES TO BE POSTED 

(a) The presumptive civil penalty for failure to display a 
current cosmetic art shop/school license is: 

(1) 1" offense warning ($50.00) 

(2) 2°" offense $100.00 

(3) 3^'' offense $200.00 

(b) The presumptive civil penalty for failure to display an 
a current individual license is: 

(1) 1" offense warning ($50.00) 

(2) 2°" offense $100.00 

(3) 3'" offense $200.00 

(c) The presumptive civil penalty for a school/salon for 
allowing an employee to practice cosmetic art without displaying 
a license. 



Qi 

(2} 



r' offense 
^offense 
^"^ offense 



waming($50.00) 

$100.00 

$200.00 



Authority G.S 88B-4; 88B-29. 



REVOCATION OF LICENSES AND OTHER 
DISCIPLINARY MEASURES 

The presumptive civil penalty for allowing unlicensed 



.0108 

(a) 

practitioners to practice in a licensed cosmetic art shop; 
shop/school is: 

(1) P' offense 

(2) 2"^ offense 

(3) 3"" offense 



LD 11 offense 
£2} 2^ offense 
£3} y^ offense 



warning ($100.00) 

$200.00 

$400.00 



$250.00 
$500.00 
$1,000.00 

(b) The presumptive civil penalty for practicing cosmetology, 
manicuring or esthetics with a license issued to another person 
is: 

(1) r* offense $300.00 

(2) 2"" offense $500.00 

(3) 3^'' offense $1,000.00 

(c) The presumptive civil penalty for altering a license, permit 
or authorization issued by the Board is: 

(1) 1^' offense $300.00 

(2) 2"" offense $400.00 

(3) 3^'' offense $500.00 

(d) The presumptive civil penalty for submitting false or 
fraudulent documents when enrolling students is: 

( 1 ) P' offense $200.00 $500.00 

(2) 2"'' offense $300.00 $800.00 

(3) 3^" offense $500.00 $1000.00 

(e) The presumptive civil penalty for refusing to present 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1984 



PROPOSED RULES 



photographic identification: 

(U P' offense $100.00 

{2} 2"'' offense $250.00 

£3} 3^' offense $500.00 

(fi The presumptive civil penalty for advertising by means of 
knovyingly false or deceptive statement: 

£11 P' offense warning ($300.00) 

£2] 2"' offense $400.00 

£3} 3^'' offense $500.00 

£g) The presumptive civil penalty for permitting an individual 
to practice cosmetic art with an expired license or temporary 
employment permit, or with an invalid license or temporar y 
employment permit. 

£iQ P' offense waming($300.00) 

£2] 2"** offense $400.00 

£3} 3^' offense $500.00 

£h} The presumptive civil penalty for practicing or attempting 
to practice by fraudulent misrepresentation: 

£ri r' offense $500.00 

£2} 2"'^ offense $800.00 

£3) 3^'^ offense $1000.00 

Authority G.S. 888-4; 888-24; 888-29. 

.0115 SANITARY RATINGS 
The presumptive civil penalty for a school failure to 
display an inspection grade card is: 

(1) r' offense warning ($50.00) 

(2) 2"" offense $100.00 

(3) 3'^'' offense $200.00 



unable to meet that timetable due to the extended discussions on 
the proposed Temporary Rules, as well as, other administrative 
matters the Board needed to accomplish. The 8oard needs to 
adopt Temporary Rules so they can begin the licensure process 
as soon as possible. An applicant seeking a Provisional License 
must submit an application prior to November 1, 2000 in order 
to be eligible for licensure or they will lose their right to apply 
for a Provisional License. If the 8oard were required to comply 
with the normal notice and hearing requirements for permanent 
rules or if te 8oard were to wait until permanent rules were 
adopted and approved, applicants would lose important 
licensure and provisional licensure rights. The Temporary 
Rules need to be adopted so the applications for licensure can 
be finalized and sent out to applicants and potential licensees as 
soon as possible. It was impossible for the 8oard to provide 
formal notice of rule making. 8eing a new licensing board, the 
Board did not know who its licensees would be. This is to 
request that the one hundred and eight day definition of a recent 
act of the General Assembly be waived due to the delay in 
appointments to the Board and the extended amount of time 
spent by the Board developing Meet Procedures and proposed 
Temporary Rules. 

Comment Procedures: Written comments must be directed to 
Charles Wilkins, PO Box 2539, Raleigh, NC 27602. All written 
comments can be received through June 14, 2000. 



State 



Fiscal Impact 
Local Sub. 



None 
/ 



Authority G.S. 888-4; 888-29. 

•k'k-k-kit-k'k-k'ie-k-kic-k'k-k'k-k-k-k-k 

CHAPTER 30 - RULES AND REGULATIONS OF 

THE NORTH CAROLINA BOARD OF 

MASSAGE AND BODYWORK THERAPY 

Notice is hereby given in accordance with G.S. 1508-21.2 
that the North Carolina Board of Massage and Bodywork 
Therapy intends to adopt rules cited as 21 NCAC 30 .0101- 
.0102. '.0201-.0204. .0301-.0306, .0401-.0404, .0501-.0506, 
.0601-.0604, .0701-.0702. .0801-.0803, .0901-.0905. Notice of 
Rule-making Proceedings was published in the Register on 
March 15. 2000. 

Proposed Effective Date: March 1. 2001 

A Public Hearing will be conducted at 1:00 p.m. on June 7, 
2000at 1 50 Fayetteville Street Mall, 1 3"' floor large Conference 
Room. Raleigh. NC 27602. 

Reason for Proposed Action: The Massage and Bodywork 
Therapy Licensure Law requires licensure as a massage and 
bodywork therapist effective November 1, 1998 and licenses 
were to be required effective July 1, 1999. The Board was 



SECTION .0100 



ORGANIZATION AND GENERAL 
PROVISIONS 



.0101 PURPOSE 

£a} The purpose of the Board is to regulate the practice of 
massage and bodywork therapy in this State in order to ensure 
minimum standards of competency and to protect the public 
health, safety and welfare. 

£b} The Board regulates the practice of massage and 
bodywork therapy by: 

(1) Determining the qualifications of persons seeking to 
practice massage and bodywork therapy and 
authorizing persons who have met the statutory 
requirements to so practice: and 
£2} Enforcing the provisions of laws governing the 
practice of massage and bodywork therapy and those 
duly enacted rules designed to ensure its safe and 
ethical practice, 
(c) The Board is not a Board of arbitration and h^ no 
jurisdiction to settle disputes between parties. 

Authority G.S 90-621; 90-626. 

.0102 DEFINITIONS 

In addition to the definitions set forth in G.S. 90-622(1) 
through (5). the following definitions apply: 

£11 Practice Act. - G.S. 90-36: The North Carolina 



1985 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



Massage and Bodywork Therapy Practice Act. 

£2} Licensee. — A person who holds a valid license issued 
by the Board to engage in the practice of massage and 
bodywork therapy. 

("3) Reciprocity. — Pursuant to G.S. 90-630. a provision 
which shall apply only to qualified practitioners of 
massage and bodywork therapy who reside outside the 
State; or qualified practitioners who have resided in 
the State for not more than 1 80 days. 

(4) Place of business. — The primary street location where 
the licensee provides massage and bodywork therapy. 
If the licensee provides massage and bodywork 
therapy only at the location of clients, then it shall be 
the residence street address of the licensee. 

(5") Malpractice. ;; Professional misconduct or 
unreasonable lack of skill. 

(6) Gross negligence. — The intentional failure to perform 
a manifest duty in reckless disregard of the 
consequences as affecting the life or pro perty of 
another. 

(7) Incompetency. — Conduct which evidences a lack of 
ability, fitness or knowledge to apply principles or 
skills of the profession of massage and bodywork 
therapy. 

(8) Sexual activity. — Any direct or indirect physical 
contact, or verbal communication, by any person or 
between persons which is intended to erotically 
stimulate either person, or which is likely to cause 
such stimulation and includes sexual intercourse, 
fellatio, cunnilingus. masturbation or anal intercourse. 
As used herein, masturbation means the manipulation 
of any body tissue with the intent to cause sexual 
arousal. Sexual activity can involve the use of any 
device or object and is not dependent on whether 
penetration, orgasm or ejaculation has occurred. 

(9) Therapeutic, educational, or relaxation purposes. ;; 
Pursuant to G.S. 90-622(3). that which is intended to 
positively affect the health and well-being of the 
client, and which does not include sexual activity, as 
defined in 21 NCAC 30 .0102(8). 

Authority G.S. 90-622; 90-626(9). 

SECTION .0200 - APPLICATIONS FOR LICENSE 

.0201 APPLICATION AND SCOPE 

Each applicant for a license as a massage and bodywork 
therapist shall complete an application form provided by the 
Board. This form shall be submitted to the Board and shall be 
accompanied by: 



m 



£2] 

0} 



Recent original photograph(s) of the applicant of 
acceptable quality for identification, as required by 
application. Such photograph shall be of the head and 
shoulders, passport type, two inches by two inches in 
size: 

The proper fees, as required by 21 NCAC 30 .0204; 
Documentation that the applicant has earned a high 
school diploma or equivalent; 



(4) Documentation that the applicant is 1 8 years of age or 
older; 

(5) Documentation that the applicant has successfiillv 
completed a course of study at a Board-approved 
school consisting of a minimum of 500 classroom 
hours of supervised instruction. If the applicant 
attended a school which is not Board-approved, the 
Board may elect to review that applicant's educational 
credentials for approval on a case-by-case basis. At a 
minimum, the documentation of such training must 
come from a school which is licensed by the 
educational licensing authority in the state, territory or 
country in which it operates, or is exempt by statute. 
The curriculum must meet or be substantially 
equivalent to the standards set forth in 21 NCAC 30 
.0602(2); 

(6) Documentation that the applicant has achieved a 
passing score on an examination administered by a 
certifying agency that has been approved by the 
National Commission of Certifying Agencies, and 
documentation that the applicant is a certificant in 
good standing with such agency; and 

(7) A form provided by the Board containing signed 
statements from two licensed massage and bodywork 
therapists, or other licensed health care practitioners, 
attesting to the applicant's good moral character and 
adherence to ethical standards. 

Authority G.S. 90-626(2); 90-629. 

.0202 INTERVIEWS 

Interviews may be required by the Board if it has questions 
about the qualifications of an applicant. 

Authority G.S. 90-626(2). 

.0203 EXEMPTIONS FROM LICENSURE 

(a) The Board considers practitioners of movementeducation. 
as well as practitioners of energy-based techniques, whose 
techniques do not involve direct manipulation of the soft tissues 
of the body and who are using only those techniques in their 
practice, to be within the scope of the exemptions set forth in 
G.S. 90-624 (6) and (7). respectively. Persons who are utilizing 
such techniques along with the practice of massage or bodywork 
therapy, as defined in G.S. 90-622(3). are not considered to be 
exempt and will be required to be licensed. 

(b) Services such as herbal body wraps, skin exfoliating 
treatments or the topical application of products to the skin for 
beautification purposes are not considered to be the practice of 
massage and bodywork therapy, as long as such services do not 
involve direct manipulation of the soft tissues of the body. 
Those who are utilizing such techniques along with the practice 
of massage or bodywork therapy are not considered exempt and 
will be required to be licensed. 

Authority G.S. 90-624. 

.0204 FEES 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1986 



PROPOSED RULES 



(a) Fees are as follows: 

(1) Application for examination $200.00 

(21 License fee 150.00 

(3) License renewal 100.00 

(4) Late renewal penalty 75.00 
("5) Duplicate license 
(6) Provisional license 150.00 

(b) Fees shall be nonrefundable and shall be paid in the form 
of a cashier's check, certified check or money order made 
payable to the North Carolina Board of Massage and Bodywork 
Therapy. Personal checks shall be accepted for payment of 
renewal fees. 

(c) A personal check returned for insufficient fiinds may be 
grounds for disciplinary action. 

Authority G.S. 90-626(8); 90-628. 

SECTION .0300 - LICENSING 

.0301 PROFESSIONAL DESIGNATIONS 

(a) All licensees shall use the professional title. "Licensed 
Massage and Bodywork Therapist," or the letters "L.M.B.T." 
when they are holding themselyes out to be a licensee in their 
professional communications. 

(h) Licensees shall not use any other letters or abbreviations 
after their name when they are holding themselves out to be a 
licensee in their professional communications, except those 
which are conveyed by a degree from an accredited 
post-secondary institution, a license from another occupational 
licensing board, or certification from an agency which is 
approved by the National Commission on Certifying Agencies. 

(c) Licensees may also use other words descriptive of their 
work, consistent with 21 NCAC 30 .0501(1). such as areas of 
clinical specialty, in addition to their primary identification as a 
Licensed Massage and Bodywork Therapist. 

Authority G.S. 90-623(c); 90-626(9). 

.0302 DISPLAY OF LICENSE 

A license shall be displayed in a prominent place at the 
licensee's primary place of business so as to be visible for 
inspection. A licensee providing massage and bodywork therapy 
outside their primary business location, or at the location of 
clients, shall have their licensure card available for inspection 
upon request. 

Authority G.S. 90-626(9). 

.0303 LICENSE RENEWAL 

(a) Any licensee desiring the renewal of a license shall 
comply with all continuing education requirements, shall apply 
for renewal and shall submit the required fee. 

(h) A license which has not been renewed prior to its 
expiration date is considered lapsed. 

(c) Licenses lapsed in excess of 24 months are expired and 
shall not be renewable. Persons whose licenses have expired 
and who desire to be licensed shall not be entitled to renew their 
license but shall apply for a new license. 



(d) Any person whose license has lapsed or expired and who 
engages in any massage and bodywork therapy activities 
governed by the Practice Act will be subject to the penalties 
prescribed in 21 NCAC 30 .0905 herein. 



25.00 Authority G.S. 90-626(3). 



.0304 LICENSE BY RECIPROCITY 

In addition to the requirements of G.S. 90-630, an applicant 
for licensure by reciprocity shall be eligible if: 

(1) The applicant is in good standing in each state where 

he or she has been licensed; 
(2} A state in which the applicant is licensed has granted 

similar reciprocity to licensees in this State; 
(3) The applicant complies with all requirements for 
licensure, completes the application and pays the 
license fee. 

Authority G.S 90-626(9); 90-630. 

.0305 PROVISIONAL LICENSE 

(a) An applicant who does not meet the educational 
requirement of G.S. 90-629(4) or the examination requirement 
of G.S. 90-629(5) as interpreted by 2 1 NCAC 30 .020 1 (5). may, 
prior to November 1 , 2000. apply for a provisional license. The 
applicant shall complete the application form provided by the 
Board, which shall be submitted to the Board and accompanied 
by: 

(1) Recent original photograph(s) of the applicant of 
acceptable quality for identification, as required by 
application. Such photograph shall be of the head and 
shoulders, passport type, two inches by two inches in 
size; 
(2j The proper fees, as required by 21 NCAC 30 .0204; 

(3) Documentation that they have obtained a high school 
diploma or equivalent; 

(4) Documentation that they are 1 8 years of age or older; 

(5) Signed and notarized statements from three licensed 
massage and bodywork therapists, or other health care 
practitioners licensed under Chapter 90 of the General 
Statutes, attesting to the sound moral character, 
professional qualifications, and competence of the 
applicant; 

(6) Documentation of a minimum of 500 hours of 
professional practice in the field of massage and 
bodywork therapy during the 4 years prior to the 
application to the Board. For the purposes of this 
Section, "professional practice" shall be defined as 
performing at least 100 hours of massage and 
bodywork therapy for compensation in a calendar 
year; 

(7) Documentation that the applicant has been practicing 
in the State at the time the application is submitted. 

(h) At the end of 2 years after the granting of the provisional 
license, the applicant shall submit evidence to the Board of his 
or her compliance with the continuing education requirements of 
2i NCAC 30 .0701 -.0702. Upon receipt of proper 
documentation, the applicant shall be issued a license to practice 



1987 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



massage and bodywork therapy. 

Authority 90-626(3); S.L. 1998. c. 230, s. 14. 

.0306 GROUNDS FOR LICENSE DENIAL OR 
DISCIPLINE 

(a) The Board may deny an application for licensure, or 
refuse to license an applicant for any of the reasons set forth in 
G.S. 90-633. 



£b} The Board may suspend or revoke the license of a 
massage and bodywork therapist, or issue a letter of reprimand 
to a licensee for any of the reasons set forth in G.S. 90-633. 

Authority G.S. 90-626(3); 90-633. 

SECTION .0400 - BUSINESS PRACTICES 

.0401 ADDRESS OF RECORD 

Each licensee shall notify the Board in writing of the licensee's 
current residence street address and primary place of business. 
The licensee shall indicate to the Board their mailing address and 
telephone number for the purposes of receiving communication 
from the Board and for listing in the registry of licensees. 

Authority G.S. 90-626(9). 

.0402 TRADE NAMES 

Licensees who conduct business under a name that is different 
than the licensee's surname are required to file an assumed name 
certificate and shall comply with the requirements of G.S. 66-68. 
The licensee shall notify the Board in writing of all assumed 
name certificates filed with any county register of deeds. 

Authority G.S. 90-626(9). 

.0403 CHANGE OF ADDRESS OR TRADE NAME 

All licensees shall notify the Board in writing of each change 
of trade name or address of record within 30 days of such 
change. 

Authority G.S. 90-626(9). 

.0404 ADVERTISING 

(a) Any advertisement of massage and bodywork therapy 
services in any advertising medium as defined herein shall 
include the licensee's name and license number, whether or not 
a trade name is used. 

(b) Advertising medium shall be defined as any form of 
written, printed, broadcast or computer-based advertising, or 
other promotional materials, except a telephone directory listing 
for which no additional advertising charge is made. 

(c) A business or establishment which employs or contracts 
with massage and bodywork therapists licensed by the Board 
may advertise on behalf of those licensees, by complying with 
the requirements of this section. 

Authority G.S 90-623(c); 90-626(9). 



SECTION .0500 - STANDARDS OF PROFESSIONAL 
CONDUCT 

.0501 CODE OF ETHICS 

This Code of Ethics establishes standards for the practice of 
massage and bodywork therapy which are intended to protect 
the public health, safety and welfare, to preserve the integrity of 
the profession, and to allow for the proper discharge of 
responsibilities to those served. Licensees shall have a 
commitment to provide the highest quality of care to those who 
seek their professional services, and shall: 

(1) Represent their qualifications, credentials and 
professional affiliations accurately, and provide only 
those services which they are qualified to perform; 

(2) Inquire as to the health status of each client before 
treatment to determine whether there are 
contraindications for the application of massage and 
bodywork therapy; 

(3} Inform clients, other health care practitioners and the 
public of the scope and limitafions of the practice of 
massage and bodywork therapy, and refer clients to 
appropriate health care practitioners whenever 
indicated; 

£4} Maintain the confidentiality of all client information, 
unless disclosure is consented to by the client, 
required by law or by court order; 

(5) Obtain and document the informed consent of the 
client before providing treatment. Informed consent 
may be given in written or verbal form; 

(6) Provide draping and treatment in a way that ensures 
the safety, comfort and privacy of the client; 

(7) Respect the client's right to refuse, modify or 
terminate treatment regardless of prio r consent given; 

(8) Refrain from initiating or engaging in any sexual 
activity involving a client, as defined in 2 1 NCAC 30 
.0102(8); 

(9) Refuse any gifts or benefits which are intended to 
influence a referral, decision or treatment that are 
primarily for personal gain and not for the good of the 
client. 

Authority G.S 90-621; 90-626(9). 

.0502 FACILITY REQUIREMENTS 

(a) The practice of massage and bodywork therapy shall be 
conducted in facilities which are safe and sanitary. Licensees 
shall maintain their freatment facilities according to the 
following standards: 

(1) Comply with all local building code requirements; 

(2) Comply with all state fire safety codes; 

£3) Comply with all state health inspection codes; 

(4) Maintain all equipment used in the practice of 

massage and bodywork therapy in a safe and sanitary 

condition; 

Launder or sanitize, before reuse, all materials 



(5} 



£6} 



fiimished for the personal use of the client, including 

towels and linens; 

Provide adequate toilet and lavatory facilities for the 



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May 15, 2000 



1988 



PROPOSED RULES 



client; 

(7) If equipped with a whirlpool bath, sauna, steam 
cabinet, or steam room, maintain adequate and clean 
shower facilities on the premises; 

(8) Maintain a lavatory for hand cleansing, or have 
available a chemical germicidal product designed to 
disinfect and cleanse hands without the use of a 
lavatory. 

fb) For treatments which are given at the location of a client, 
only standards (4). (5) and (8) of this Rule, apply. For 
treatments which are given at a temporary location lasting not 
more than 5 days such as a trade show, sporting event or 
community festival, only standards (4) and (8) of this Rule, 
apply. 

Authority G.S. 90-626(9). 

.0503 HYGIENE 

Licensees shall maintain a professional standard of hygiene in 
the practice of massage and bodywork therapy. 

(1) Before and after each treatment, licensees shall 
cleanse and disinfect their hands, using a lavatory or 
a chemical germicidal product. 

(2) Licensees shall maintain a barrier of unbroken skin on 
their hands, forearms and elbows at all times. In the 
case of broken skin, the licensee shall use a finger cot, 
glove or chemical barrier product to cover the affected 
area during treatment. 

Authority G.S. 90-626(9). 

.0504 DRAPING OF CLIENTS 

(a) Licensees shall maintain a sufficient supply of clean 
drapes, for the purpose of draping each client during treatment. 
As used herein, "drapes" mean towels, sheets, gowns or other 
appropriate coverings. 

(b) Before proceeding with a treatment, licensees shall 
explain expected draping techniques to the client and provide the 
client with a clean drape for the purpose of ensuring their safety, 
comfort and privacy. 

(c) The requirements of (a) and (b), above, do not apply in the 
case of treatments where the client does not disrobe. 

Authority G.S. 90-626(9). 

.0505 SEXUAL ACTIVITY PROHIBITED 

(a) Sexual activity with a client, as defined in 21 NCAC 30 
.0102(8), is prohibited where the practice of massage and 
bodywork therapy is conducted. 

(b) No licensee shall engage in or permit any person or 
persons to engage in sexual activity with a client in a location 
where the practice of massage and bodywork therapy is 
conducted, or use such location to make arrangements to engage 
in sexual activity in any other place. 

(c) Licensees shall not use the therapist-client relationship to 
engage in sexual activity with any client or to make 
arrangements to engage in sexual activity with any client. 



Authority G.S. 90-626(9). 

.0506 CONTINUING DUTY TO REPORT CERTAIN ^ 
CRIMES AND CIVIL SUITS M 

(a) All licensees are under a continuing duty to report to the 
Board any and all of the following by themselves or by other 
licensees: 

(1) Charges of. convictions of. or pleas of guilty or no 
contest to a felony; 

(2) Charges of. convictions of. or pleas of guilty or no 
contest to any crime that involves moral turpitude; 

(3) Charges of, convictions of. or pleas of guilty or no 
contest to any alcohol or drug-related offense. 

(b) All licensees are under a continuing duty to report to the 
Board if they are named as a defendant in a civil suit arising out 
of a licensee's practice of massage and bodywork therapy. 

(cj A licensee must report a charge, conviction, plea in a 
criminal case, or involvement as a defendant in a civil suit, as set 
forth in (a) and (h), above, within thirty (30) days after it occurs. 

Authority G.S 90-626(9). 

SECTION .0600 - MASSAGE AND BODYWORK 
THERAPY SCHOOLS 

.0601 BOARD APPROVAL 

(a) Any school, whether in this State or another state, territory 
or country, that offers a certificate, diploma or degree program 
in massage and bodywork therapy may make application for 
Board approval on a form provided by the Board. Every school 
must submit an application to be considered for approval, 
whether or not such school has been licensed, approved or 
accredited by another agency, state board, accreditation 
commission or trade association. A school which operates more 
than one location shall submit a separate application for each 
location. 

(b) The Board shall grant approval to schools that meet the 
standards set forth in this section. The Board shall maintain a 
list of approved schools. 

(c) In order to maintain approval status, each school shall 
submit an annual report on a form provided by the Board, which 
may include documentation of continued state licensure, where 
such licenses are required, and any changes in curriculum, 
instructional staff or administrative staff. 

(d) An approved school shall notify the Board in writing 
within 30 days of any change in the school's location address, 
ownership, or controlling interest. 

(e) The Board may refiise to issue approval to an applicant, or 
may withdraw approval granted to a school if the applicant for 
approval, or holder of such approval: 

(1) Fails to maintain, at any time, the minimum 
requirements for approval set forth in this Section; 

(2) Fails to require its students to complete the minimum 
standards in order to graduate; 

(3) Submits documents to the Board which contain false 
or misleading information; 

{4} Violates G.S. 115D-93(c), or any statute or rule 
required for licensure of that school by its educational 



79*9 



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May 15, 2000 



14:22 



PROPOSED RULES 



(H 



licensing authority; or 

Violates any applicable rule of this Section. 



Authority G.S. 90-631. 

.0602 MINIMUM REQUIREMENTS FOR APPROVAL 

(a.) The minimum requirements for approyal of massage and 
bodywork therapy schools are: 
(1) Authority to operate. 

(A) Proprietary schools in the State shall provide 
documentation that they are licensed by the 
State Board of Community Colleges pursuant 
to G.S. 115D. Article 8^ or subsequent State 
licensing authority; or shall be exempt from 
licensure by statute. 

(B) Any school outside the State shall provide 
documentation that it is licensed by the 
equivalent educational licensing authority in 
the state, territory or country in which it 
operates; or shall be exempt from licensure by 
statute. 

(Q A Community College within the State which 
offers a certificate, diploma, or degree program 
in the field of massage and bodywork therapy 
shall have approval from the State Board of 
CommunityCoUeges to conduct such program. 
as required by G.S. 1 15D-5(f) and 23 NCAC 
2E.0201(a). 
{2} General requirements. Schools shall provide 
documentation that they meet the following criteria: 

(A) The school's director, administrative staff, and 
instructional staff possess adequate education 
and experience to carry out their 
responsibilities; 

(B) The school has adequate space, equipment, 
instructional materials, learning resources, and 
instructional staff to provide training of good 
quality; 

(C) A copy of the school bulletin or catalog is 
provided to the student upon enrollment, which 
shall include course descriptions, schedule of 
tuition, fees and other charges, grading policy, 
standards for completion, and administrative 
policies; 

(D) Upon completion of training, the student is 
given a certificate, diploma, or degree 
indicating the program satisfactorily 
completed; 

(E) Adequate records are maintained to show 
attendance and academic progress or grades; 
satisfactory standards relating to attendance, 
progress and conduct are enforced; 

(¥) The school complies with all city, county. State 
and Federal requirements, such as fire codes, 
building and sanitation codes; 

(G) The school is financially sound and capable of 



fijlfilling its commitments for training; 
(H) The school does not utilize advertising of any 
type which is erroneous or misleading, either 
by actual statement, omission or intimation; 
(I) The school's owners, directors, administrators 
and instructors are of good reputation and 
character; 
(J) Such additional criteria as may be deemed 
necessary by the Board. 
(3) Curriculum. 

(A) Schools shall provide documentation that they 
offer a curriculum consisting of a minimum of 
500 classroom hours of supervised instruction. 
A classroom hour of supervised instruction 
shall consist of at least 50 minutes of any one 
clock hour during which the student 
participates in a learning activity in the 
physical presence of a member of the school's 
instructional staff Programs shall be a 
minimum of 6 months in length, with no more 
than 12 instructional hours in one day. 

(B) At a minimum, the curriculum shall contain the 
following hours of specific instruction: 

£i} 200 hours in the fundamental theory and 
practice of massage and bodywork 
therapy, which shall include application 
of hands-on methods, client assessment 
skills, indications and c ontraindications 
for treatment; 
£ii) 1 00 hours in anatomy and physiology, 
which shall include the structure and 
function of the human body and 
common pathologies; 
(iii) 200 hours in other courses which are 
consistent with the school's philosophy 
and educational objectives; such courses 
shall include therapeutic communication 
skills, standard practices for hygiene and 
control of infectious diseases, 
professional ethics, laws and rules, and 
business practices. Such courses may 
also include additional hands-on 
techniques, specific applications, 
adjunctive modalities, in-depth anatomy 
andphysiology. kinesiology, psychology 
and supervised clinical practice; 
£iy} Such additional criteria as may be 
deemed necessary by the Board. 
(4} Transfer of Credit. A school shall not grant transfer 

credit from another institution unless the following 

standards are met: 

(A) The school from where credit is being 
transferred must be licensed by the educational 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1990 



PROPOSED RULES 






licensing authority in the state in which it 

operates, or be exempt by statute; 

The school from where credit is being 



transferred shall provide an official transcript; 
Courses for which credit is granted shall be 
parallel in content and intensity to the courses 
presently offered by the school; and 
(P) Documentation of previous training shall be 
included in each student's permanent file. 
(5) Student compensation prohibited. A student enrolled 
in a Board-approved school shall not receive a fee or 
other consideration for their work while they are 
completing clinical requirements for graduation, 
whether or not the school charges a fee for services 
provided in a student clinic, 
(b) Any school approval issued by the Board shall be 
restricted to the programs of instruction or courses specifically 
indicated in the original application for approval. A school 
desiring to offer additional programs of instruction may submit 
a supplementary application for approval, as directed by the 
Board. 

Authority G.S. 90-631. 

.0603 DOCUMENTATION OF SUCCESSFUL 
COMPLETION 

(a) In order to be acknowledged as having successfully 
completed a course of study as required by G.S. 90-629(4). an 
applicant for licensure must submit an official transcript to the 
Board's administrative office. 

(b) Such transcript must document to the satisfaction of the 
Board that the applicant has completed all requirements in a 
course of study which meets the minimum curriculum standards 
set forth in this section, and shall indicate the following: 

(1) Passing grades in all courses; 
Dates of attendance; 

Date of graduation or successfiil completion of the 
entire program: and 

Total number of supervised classroom hours of 
instruction. 



(21 
i21 

(4] 



Authority G.S. 90-631. 

.0604 APPROVAL DESIGNATION 

A school which is approved by the Board may 



utilize the 



desi gnation. "Approved by the North Carolina Board of Massage 
and Bodywork Therapy." or "N.C. Board Approved." An 
approved school may utilize this designation only to promote a 
program in massage and bodywork therapy, and shall not utilize 
this designation to promote any other program. 

Authority G.S. 90-631. 



SECTION .0700 - CONTINUING EDUCATION 



.0701 



CONTINUING EDUCATION REQUIRED FOR 
LICENSE RENEWAL 

When renewing a license to practice massage and bodywork 



therapy, each licensee shall submit evidence to the Board that 
they have completed the required hours of approved continuing 
education during the immediately preceding licensure period. 

Authority G.S. 90-626(9); 90-632. 

.0702 APPROVED PROVIDER 

(a) Approved continuing education shall be defined as any 
course, workshop or seminar relating to the practice of massage 
and bodywork therapy which is conducted by an approved 
provider. 

(b) An approved provider is one which meets the criteria 
established by the Board. 

Authority G.S 90-626(9); 90-632. 

SECTION .0800 - RULES 

.0801 PETITIONS FOR ADOPTION, AMENDMENT 
OR REPEAL OF RULES 

(a) The procedure for petitioning the Board to adopt, amend. 
or repeal a rule and for the Board's response is governed by G.S. 
150B-20. 

(b) Rule-making petitions shall be sent to the Board. No 
special form is required, but the petitioner shall state his or her 
name and address. The petition shall include: 

(1) A draft of any proposed rule or amendment to a rule; 
The reason for the proposal; 



(2} 
(H 

(4) 
(5] 

16] 



The effect of the proposal on existing rules or 

decisions; 

Any data supporting the proposed rule change: 

Practices likely to be affected by the proposed rule 

change; and 

Persons likely to be affected by the proposed rule 

change. 



Authority G.S 150B-20. 

.0802 RULEMAKING NOTICE AND PUBLIC 
HEARING 

(a) Any person who wishes to receive individual notice of 
agency rule making shall file a written request with the Board 
and shall be responsible for the actual cost of printing and 
mailing said notice. 

£b] Any public rule-making hearing shall be conducted by the 
Board Chair or by an^; person he or she may designate. The 
presiding officer shall have control of the hearing, including 
setting limits on oral presentations, and shall conduct the hearing 
so as to provide a reasonable opportunity for any interested 
person to present views, data and comments. 

Authority G.S. 150B-21.2. 

.0803 DECLARATORY RULINGS 

(a} The issuance of declaratory rulings bj; the Board is 
governed by G.S. 150B-4. 

{b} A request for a declaratory ruling shall be in vyriting and 
addressed to the Board. The request shall contain the following 



1991 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



PROPOSED RULES 



information: 



£3} 



(4} 



The name and address of the person making the 
request; 

The statute or rule to which the request relates; 
A concise statement of the manner in which the 
person has been, or may be aggrieved by the statute or 
rule; and 

A statement as to whether a hearing is desired, and if 
desired, the reason therefore, 
(c) The Board shall refuse to issue a declaratory ruling under 
the following circumstances: 

(1) When the Board has already made a controlling 
decision on substantially similar facts in a contested 
case; 

(2) When the facts underlying the request for a rulmg on 
a rule were specifically considered at the time of the 
adoption of the rule in question; and 

(3) When the subject matter of the request is inyolved in 
pending litigation in North Carolina. 

Authority G.S. 150B-4. 

SECTION .0900 - COMPLAINTS, DISCIPLINARY 
ACTION AND HEARINGS 

.0901 PURPOSE AND SCOPE 

The Practice Act authorizes the Board to conduct 
investigations, subpoena individuals and records, and do all 
other things necessary and proper to discipline persons licensed 
under the Act. The Board may issue, review, deny, suspend, 
revoke or refiise to issue or renew any license under the Act. 
This law was enacted to protect the public health, safety and 
welfare; therefore, it is the policy of the Board to discipline 
incompetent and fraudulent practitioners. 

Authority G.S. 90-626(5),(6),(7). 

.0902 COMPLAINTS 

(a) A complaint regarding a violation of the Practice Act or 
Rules and Regulations shall be submitted in writing and shall 
document: 

(1) The name of the licensee or other person involved; 
£2} A description of the alleged behavior or incident; and 
(3) The name, mailing address and phone number of the 
person filing the complaint. 

(b) The complaint shall be delivered to the Board 
administrative offices by mail, private carrier or in person. 
Complaints transmitted by facsimile or electronic mail will not 
be accepted. 

(c) An incomplete complaint may be corrected and 
resubmitted. 

Authority G.S. 90-626(13). 

.0903 ACTION ON A COMPLAINT 

Action on a complaint consists of the following: 
(1) The Board shall receive and acknowledge complaints, 
open a confidential file and initiate complaint 



tracking. 

(2) Complaints will be screened to determine jurisdiction 
and the type of response appropriate for the 
complaint. 

(3) Investigation: 

(a) If the facts do not clearly indicate a Practice 
Act violation, and the complaint can be 
handled without an investigation, the Board 
shall request that the licensee cease conduct 
that could result in a Practice Act violation. 

(b) If the facts clearly indicate a Practice Act 
violation, the Board shall commence an 
investigafion. The Board may utilize additional 
personnel such as licensees, law enforcement 
officials, or other technical personnel that may 
be required in a particular case. If a Board 
member is utilized in the investigation, care 
must be taken to observe due process by 
separating: 

(i) investigation. 
£ii} prosecution, and 
(iii) hearings and final decision-making. 
No Board member shall participate in more 
than one of these three steps in the enforcement 
process. 

(c) A confidential report of each investigation 
shall be prepared for the Board's review. 

(4) Formal and Informal Hearings: 

(a) The Board, after review of an investigative file. 

may schedule an informal meeting. 
(h) If the matter cannot be resolved informally. 

then a formal hearing shall be held, 
(c) Members of the Board shall not make ex parte 

communication with parties to a hearing. 

(5) Final Orders: As soon as possible, but at least within 
60 days, the Board will issue its final decision in 
writing specifying the date on which it will take 
effect. The Board will serve one copy of the decision 
on each party to the hearing. 

(6) Compliance: The Board Chair will cause a follow-up 
inquiry to determine that the orders of the Board are 
being obeyed. 

Authority G.S 90-626(5), (6). (7), (13). 

.0904 FORMAL HEARING 

Formal hearings shall be conducted in accordance with G.S. 
150B-38 et seq. 

Authority G.S 90-626(6); G.S 1 SOB- 3 8. 

.0905 DISCIPLINARY SANCTIONS 

(a) The following types of disciplinary sanctions may, among 
others, be utilized by the Board: 

(1) Denial of Application: Refusal to license the 
applicant; 

(2) Letter of Reprimand: An expression of displeasure. 
The mildest form of administrative action. This 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1992 



PROPOSED RULES 



formal expression of disapproval will be retained in 
the licensee's file but shall not be publicly announced. 
It is not published, but is released upon request; 

(3) Probation: A period of time where certain restrictions 
or conditions are imposed on a license. Continued 
licensure is subject to fulfillment of specified 
conditions; 

(4) Suspension of license: A condition of probation. 
Loss of license for a certain duration of time after 
which the individual mav be required to reapply for 
licensure or remain on probation; 

(5) Refusal of License Renewal: A refusal to reinstate or 
renew a license; 

{6} Revocation of license : An involuntary termination of Authority G.S. 90-626(4). 



a license: 
(7) Injunction: A court action prohibiting or compelling 
conduct by a licensee. 
(bj The Board may request information from professional 
associations, professional review organizations (PROs). 
hospitals, clinics or other institutions in which a licensee 
performs professional services, on possible chemical abuse, or 
incompetent or unethical behavior. 

(c) The Board will provide notice of sanction taken by it to 
other public entities as necessary to ensure that other state 
boards and enforcement authorities receive the names of 
licensees disciplined. 



1993 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



TEMPORARY RULES 



This Section includes temporary rules reviewed by the Codifier of Rules and entered in the North Carolina Administrative Code 
and includes, from time to time, a listing of temporary rules that have expired. See G.S. 150B-21. 1 and 26 NCAC 2C .0500 for 
adoption and filing requirements. Pursuant to G.S. 150B-21.1(e), publication of a temporary rule in the North Carolina Register 
serves as a notice of rule-making proceedings unless this notice has been previously published by the agency. 



TITLE 1 - DEPARTMENT OF ADMINISTRATION 

Rule-making Agency: Department of Administration 

Rule Citation : 1 NCA CSC. 0224 

Effective Date: April 26, 2000 

Findings Reviewed and Approved by: Beecher R. Gray 

Authority for the rule-making: G.S. 143-64.02, 143-64.05; 
SL. Extra Session 1999-463 

Reason for Proposed Action: The General Assembly, through 
The Hurricane Floyd Recovery Act of 1999, and the Governor 
have acted to harness every available resource to deal with the 
immediate aftereffects of the hurricanes and flooding. In order 
to encourage State agency recycling, provide resources to do so, 
and make such a program sustainable, these rules modify an 
existing program to achieve those ends. The effective 
implementation of the modifications would also reduce thefiow 
of waste material from State agencies into landfills. 

Comment Procedures: Comments are welcome and may be 
submitted to R. Glen Peterson, General Counsel, Department of 
Administration, 1301 Mail Service Center, Raleigh, NC 27699- 
1301, telephone (919) 807-2425, facsimile (919) 733-9571, 
email Glen.Peterson@ncmail.net. 

CHAPTER 5 - PURCHASE AND CONTRACT 

SUBCHAPTER 5C - SURPLUS PROPERTY 

SECTION .0200 - STATE SURPLUS PROPERTY 

.0224 RECYCLABLE MATERIAL 

(a) Agencies that have a solid waste reduction program, as 
defined in G.S. 130A-309.14. shall be eligible to retain receipts 
derived from the transfer or sale of recyclable material, less any 
charge or fee collected for the transfer or sale by the State 
Surplus Property Office. An agency shall have a solid waste 
reduction program in place at the time the recyclable material is 
designated as surplus property to be eligible to retain such funds. 
The flinds may only be used to defray the costs of the agency's 
solid waste reduction program. If an agency with a solid waste 
reduction program elects to retain such funds, the agency shall 
certify in writing to the State Surplus Property Office that it has 
such a program in place. 

rb) For the purpose of this Rule, recyclable materials shall 
include, but not be limited to, wooden pallets, paper/cardboard, 
plastics, scrap metals, tires, food residuals, oil, antifreeze, 
computers, computer parts, aluminum, and cloth. Recyclable 



materials, as defined in G.S. 143-64.02. shall be added to. or 
removed from, this list based on changes in the marketability of 
materials or distribution networks. 

(c) Agencies shall not be eligible to retain receipts derived 
from the transfer or sale of recyclable materials under 
geographical or statewide contracts established and administered 
by the State Surplus Property Office. All receipts derived from 
these contracts shall be retained by the State Surplus Property 
Office, as the agency that fransfcrted or sold the recyclable 
material. 

(d) All contracts for the transfer or sale of recyclable 
materials authorized by the State Surplus Property Office to be 
handled by the agency, shall not become effective until the 
contract is approved by the State Surplus Property Office. The 
State Surplus Property Office may permit an agency to handle a 
transfer or sale of recyclable materials due to local conditions, 
material decomposition, or market conditions. An agency 
authorized to handle the transfer or sale of recyclable material 
shall fransfer the material in accordance with Rule .0204 of this 
Subchapter or sell the material in accordance with Rules .0205 
and .0206 of this Subchapter, subject to prior approval of the 
State Surplus Property Office. 

(e) When an agency handles a contract for the transfer or sale 
of recyclable materials, all checks received shall be made 
payable to the State Surplus Property Office. The agency shall 
forward all payments received to the State Surplus Property 
Office. If the agency qualifies for retaining fiinds received, the 
State Surplus Property Office shall return the fiinds to that 
agency, less any charge or fee collected for the transfer or sale 
by the State Surplus Property Office. 

HistoryNote: AuthorityG.S 143-64.02; 143-64.05;S.L. Extra 

Session 1999-463; 

Temporary Adoption Eff. April 26. 2000 to expire on Januaiy 1. 

2003. 

************************ 



Rule-making Agency: Department of Administration 

Rule Citation: / NCAC 25 .0108, .1001, .1002 

Effective Date: April 12, 2000 

Findings Reviewed and Approved by: Beecher R. Gray 

Authority for the rule-making: G.S. 113A-11; 143-64.02; 
143-64.05; S.L. Extra Session 1999-463 

Reason for Proposed Action: The Hurricane Floyd Recovery 
Act of 1999 envisions spending on activities funded with public 
monies, which activities would be subject to review under the 



14:22 



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May 15, 2000 



1994 



TEMPORAR Y RULES 



North Carolina Environmental Policy Act (NCEPA). Under 
NCEPA, each agency may exempt certain activities from review 
by adoption of minimum criteria, which are subject to review 
and approval by the Secretary of Administration. These 
temporary rules will enhance review of agency-proposed 
minimum criteria in emergency situations such as this. 

Comment Procedures: Comments are welcome and may be 
submitted to Ms. Chrys Baggett, Department of Administration, 
State Clearinghouse, 1302 Mail Service Center, Raleigh, NC 
27699-1302, telephone (919) 807-2324, facsimile (919) 933- 
9571. 

CHAPTER 25 - NORTH CAROLINA 
ENVIRONMENTAL POLICY ACT 

SECTION .0100 - GENERAL PROVISIONS 



.0108 SCOPE 

(a) This Chapter is applicable to any situation where there is: 

(1) an expenditure of public monies or use of public land; 

(2) an action by a state agency subject to this Chapter; 

(3) a potential environmental effect upon either natural 
resources, public health and safety, natural beauty, or 
historical or cultural elements of the state's common 
inheritance. 

(b) For the purpose of this Chapter: 

(1) "Action" includes but is not limited to licensing, 
certification, permitting, the lending of credit, 
expenditures of public monies, and other similar final 
agency decisions the absence of which would 
preclude the proposed activity. Action does not 
include the allocation of any public funds transferred 
in accordance with a statutory or regulatory formula, 
which leave no discretion to the allocating agency. 

Note: This last exception is intended to exclude the following 
types of revenues: Powell bill, sales tax, intangibles tax, beer 
and wine taxes, utility franchise taxes, and General Revenue 
Sharing. 

(2) "Emergency" includes any occurrence or imminent 
threat of widespread or severe damage, injury, or loss 
of life or property resulting from any natural, man- 
made, accidental, intentional, military or paramilitary 
cause, as well as any time during which a state of 
disaster exists after proclamation made pursuant to 
G.S. 166A-6. 

(2)0) "Environmental effect" includes direct, indirect, and 
cumulative impacts for the project or program that 
may be significant, depending upon the manner in 
which the activity is carried out. 

f3){4} "Public monies" includes all expenditures in support 
of the proposed activity by federal, state or local or 
quasi-public entities from whatever source derived, 
but does not include resources used solely for 
processing a license, a certificate, or a permit; the 
lending of credit; or the resources used for the 
provision of technical services. 



(4)£5} 



f5)(61 



"State Project Agency" means the state department or 
council of state agency which has been designated 
pursuant to Rule .02 1 0(a) of this Chapter for ensuring 
compliance with the N.C. Environmental Policy Act. 



"State" includes all entities covered by the Executive 
Budget Act, Article One of the General Statutes, 
Chapter 143. 
(6)£7} "State agencies subject to this Chapter" means: 

(A) the Departments listed in G.S. 1 43B- 1 1 ; 

(B) boards, commissions, committees and councils 
organized within the Departments listed in G.S. 
143B-2; 

(C) other departments, boards, commissions, 
committees and councils which adopt the 
provisions of this Chapter directly or by 
reference; and 

(D) all entities within the executive branch of state 
government when a final decision is required 
by G.S. 113A-5. 

f7)(8} The definitions contained in G.S. 113A-1 through 
G.S. 1 13A-13 are incorporated by reference. 

History Note: Authority G.S. 113A-11; S.L. Extra Session 

1999-463: 

Eff. February 1, 1986: 

Amended Eff May 3, 1993; 

Temporary Amendment Eff. April 12, 2000 to expire on January 

1. 2003. 

SECTION .1000 - EMERGENCY PROVISIONS 

.1001 SCOPE 

The minimumcriteria established pursuant to Section .0300 of 
this Chapter or the review processes for environmental 
assessments or environmental impact statements set out in Rules 
.0506 and .0605 of this Chapter respectively may be altered 
where an emergency makes it necessary to take action to control 
or mitigate any threat to the public health, safety and welfare 
caused by the emergency. This section establishes the 
procedures to supplement the provisions of this Chapter in an 
emergency consistent with the policies of NCEPA. 

History Note: Authority G.S. 113A-11; S.L. Extra Session 

1999-463: 

Temporary Adoption Eff. April 12, 2000 to expire on January 1, 

2003. 

.1002 PROCESSES 

(a) Previously approved minimum criteria maybe revised to 
alter the current criteria thresholds to accommodate actions 
needed to mitigate an emergency. The State Agency seeking to 
revise those minimum criteria shall submit the proposed revised 
list to the State Clearinghouse for approval by the Secretary of 
Administration or the Secretary's designee. The Secretary' or 
designee shall approve or reject the revised criteria within three 
working days of receipt. 

(b) Because of an emergency, the Secretary of Administration 
or the Secretary's designee may alter the review periods set out 



1995 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



TEMPORAR Y RULES 



in Rules .0506 and .0605 of this Chapter upon request of the 
State Project Agency. The altered review periods may be no less 
than iO calendar days after publication of the Notice of 
Availability of the appropriate environmental document in the 
Environmental Bulletin. 

History Note: Authority G.S. 113A-11; S.L. Extra Session 

1999-463; 

Temporary Adoption Eff. April 12, 2000 to expire on January 1, 

2003. 



TITLE 10 - DEPARTMENT OF HEALTH AND 
HUMAN SERVICES 

Rule-making Agency: Social Services Commission 

RuleCitarion: lONCAC 29C .0207 

Effective Date: April 21, 2000 

Findings Reviewed and Approved by: Julian Mann, III 

Authority for the rule-making: G.S lOSA-25; 143B-153 

Reason for Proposed Action: This temporary adoption is 
necessitated by a need to change the expiration date of Rules 10 
NCA C 29C .0201,. 0202, . 0205 and . 0206 to be consistent with 
the change in Rules 10NCAC29C .0203 and. 0204, amendedon 
March 8 and effective March 13, 2000. The Division of Social 
Services proposes the changed in order to allow the county 
departments of social services the flexibility they need to serve 
families beyond June 30, 2000. The extension of rules to June 
30, 2001 will ensure that energy needs are met with these funds 
and the potential loss of much needed federal funds is 
minimized. Funds obligated by September 30, 2000, will be 
available to the county in the next federal fiscal year; therefore 
counties will have the opportunity to spend these funds into next 
year to address the ongoing needs for their citizens. 

Comment Procedures: If you wish to make comments please 
contact Ms. Sharnese Ransome, APA Coordinator, Division of 
Social Services, 2401 Mail Service, Raleigh, NC 27699-2401 ; 
(919) 733-3055. Verbal comments may be presented at the 
public hearing. Written comments must be received by Ms. 
Ransome not later that June 14, 2000. 

CHAPTER 29 - INCOME MAINTENANCE 

SUBCHAPTER 29C - CRISIS INTERVENTION 

SECTION .0200 - MODIFIED CRISIS INTERVENTION 
PROGRAM 

.0207 CHANGE OF EXPIRATION DATE OF 
TEMPORARY RULES 

The expiration date of temporary Rules 1 NC AC 29C .0201. 



■0202. .0205 and .0206 of this Section is changed to June 30. 
2001. 

History Note: Authority G.S 108A-25; 143B-153; S.L. 1999- 

463; 

Temporary Adoption Eff. April 21, 2000 to Expire on June 30. 

2001. 

it'ffie-k'k'fc-k'k-k-kie-k-kie-k-ft'k-k-ffic 

Rule-making Agency: Social Services Commission 

Rule Citation: lONCAC 41S .0613 

Effective Date: May 15, 2000 

Findings Reviewed and Approved by: Julian Mann, III 

Authority for the rule-making: G.S. 131D-10.5; 143B-153 

Reason for Proposed Action: In July 1999, the Social Services 
Commission amended licensure rule 10 NCAC 41S .0613 as a 
result of a child fatality in a residential child care facility that 
occurred as a result of improper restraint techniques utilized by 
a child care worker. Licensure rules governing the use of 
restraint need further clarification on the types ofrestraints that 
are allowed, when time-out may be employed, who may 
administer a physical restraint hold, the need to have planning 
and debriefing sessions, and specific reporting requirements 
when a death occurs as a result of a restraint hold. Amendment 
of 10 NCAC 41 S .0613 will clarify any confusion on the use of 
restraints in residential child care facilities, use of time-out, and 
specific reporting requirements. 

Comment Procedures: The Rule-making Proceeding was 
published in the August 16, 1999 issue of the North Carolina 
Register and the Notice of Text was published in the March 15, 
2000 issue of the North Carolina Register. 

CHAPTER 41 - CHILDREN'S SERVICES 

SUBCHAPTER 41S - MINIMUM LICENSING 
STANDARDS FOR RESIDENTIAL CHILD CARE 

SECTION .0600 - SERVICE DELIVERY 

.061 3 DISCIPLINE AND BEHAVIOR MANAGEMENT 

(a) The residential child care facility shall have written 
policies and procedures on discipline and behavior management, 
including the type and use of physical restraint holds, if utilized. 
A copy of the written policies and procedures shall be provided 
to and discussed with, each child and the child's parents or legal 
custodians prior to or at the time of admission. Policies and 
procedures shall include: 

(1) Proactive means for interacting with and teaching 
children which emphasize praise and encouragement 
for exhibiting self control and desired behavior; and 

(2) Methods for protecting children and others when a 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



1996 



TEMPORAR Y R ULES 



child is out of control. 

(b) The residential child care facility shall implement 
standards for behavior which are reasonable and 
developmentally appropriate. 

(c) The residential child care facility shall not engage in 
discipline or behavior management which includes: 

(1) Corporal/physical punishment; 

(2) Cruel, severe, or humiliating actions; 

(3) Discipline of one child by another child; 

(4) Denial of food, sleep, clothing or shelter; 

(5) Denial of family contact, including family time, 
telephone or mail contacts with family; 

(6) Assignment of extremely strenuous exercise or work; 

(7) Verbal abuse or ridicule; 

(8) Chemical, mechanical, or physical r es tr ain t s; except 
as s p ecified in 10 NCAC 41 S .0614 (e.), o r 
Mechanical restraints; 

(9) Drug used as a restraint, except ^ outlined in 10 
NCAC 4 IS. 06 13(e); 

(9)£10} Locked r ooms. Seclusion or isolation time-out, or 
(11) Physical restraints except as outlined in VQ NCAC 
41S. 0613(0. 

(d) Time-out means the removal of a child to a separate 
unlocked room or area from which the child is not physically 
prevented from leaving. The residential child care facility shaH 
prohibi t isolation may use time-out as a behavioral confrol 
measure except when the facility provides it in an unlocked 
room; within hearing distance and sight of a staff member. 
membe r and the The length of time alone is shall be appropriate 
to the child's age and s t ages of development. 

(e) Drug used as a restraint means a medication used to 
control behavior or to restrict a child's freedom of movement 
and is not a standard treatment for the child's medical or 
psychiatric condition. A drug use as a restraint shall be 
employed only if required to treat a medical condition. It shall 
not be employed for the purpose of punishment, staff 
convenience or as a substitute for adequate staffing. 

(c)(f) Physical restraint of a child means physically holding 
a child who is at imminent risk of harm to himself or others 
until the child is calm. If physical restraints are utilized: 

(1) Physical restraint holds shall be administered by 
qualified, t rained s t aff, only by staff trained in the use 
of physical restraint holds. No child or group of 
children shall be allowed to participate in the physical 
restraint of another child; 

(2) Before employing a physical restraint, the residential 
child care facility shall take into consideration the 
child's medical condition and any medications the 
child may be taking. 

(2)£3} No child shall be physically restrained utilizing a 
protective or mechanical device. 
Physical restraint holds shall: 

(A) not be used for purposes of discipline or 
convenience; 

(B) only be used as a las t resor t if when there is 
imminent risk of harm to the child or others 
and less restrictive approaches have failed; 
be administered in the least restrictive manner 



(C) 



possible to protect the child or others from 
imminent risk of harm; and 
(D) end when the child becomes calm. 
(3)£4} The residential child care facility shall: 

(A) Ensure that any physical resfraint hold utilized 
on a child is administered by a trained staff 
member with a second staff member in 
attendance. An exception may occur when no 
other staff member is present or can be called 
for immediate assistance. Concurrent with the 
administration of a physical restraint hold and 
for a minimum of 1 5 minutes subsequent to the 
termination of the hold, a staff member shall: 

(i) monitor the child's breathing; 
(ii) ascertain that the child is verbally 

responsive and motorically in control; 

and 
(iii) shall ensure that the child remains 

conscious without any complaints of 

pain. 
If at any time during the administration of a 
physical restraint hold the child complains of 
being unable to breathe or loses motor control, 
the staff member administering the physical 
restraint hold shall immediately terminate the 
hold or adjust the position to ensure that the 
child's breathing and motor control are not 
restricted. If at any time the child appears to be 
in disfress, a staff member shall immediately 
seek medical attention for the child; child. 
Following the use of a physical resfraint hold. 
a staff member shall conduct an interview with 
the child about the incident, and the staff 
administering the physical restraint hold shall 
be interviewed about the incident. 

(B) Document each incident of a child being 
subjected to a physical restraint hold on an 
incident report. This report shall include: 

(i) the child's name, age, height and 

weight; 
(ii) the type of hold utilized; 
(iii) the duration of the hold; 
(iv) the staff member administering the hold; 
(v) staff member witnessing the hold; 
(vi) supervisory staff who reviewed the 

incident report; 
(vii) less restrictive alternatives that were 

attempted prior to utilizing physical 

restraint; 
(viii) the child's behavior which necessitated 

the use of physical restraint; and 
(ix) whether the child's condition 

necessitated medical a tt en t ion. 

attention; 
(x) planning and debriefing conducted with 

the child and staff to eliminate or reduce 

the probability of reoccurrence; and 
(xi) the total number of restraints of the 



1997 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



TEMPORARY RULES 



child since admission. 
Within 48 hours, supervisory staff shall review 
the incident report to ensure that correct steps 
were followed and shall forward the report to 
the legal custodian and the licensing au t ho r i t y ; 
authority on a report form developed by the 
licensing authority. If a child dies as a result of 
a physical restraint hold, the residential child 
care facility shall immediately report the death 
of the child to the legal custodian and to the 
licensing authority. 

(C) Submit a summary report to the Division of Social 
Services by the 1 0* day of each month indicating the 
number of physical restraint holds used during the 
previous month on each child and any injuries that 
resulted; 

(D) Ensure that any physical restraint hold utilized on a 
child is administered by a compe t en t trained staff 
member who has completed at least 16 hours of 
training in behavior management, including 
techniques for de-escalating problem behavio r and 
behavior, the appropriate use of physical restraint 
holds, holds, monitoring of the child's breathing, 
verbal responsiveness and motor control. Training 
shall also include debriefing children and staff 
involved in physical restraint holds. Thereafter, staff 
authorized to use physical restraint holds shall must 
also annually complete at least 8 eight hours of 
behavior management training, including techniques 
for de-escalating problem behavior; and 

(E) Complete and annual review of the discipline and 
behavior management policies and techniques to 
verify that the physical restraint holds being utilized 
are being applied properly and safely. This review 
shall be documented and submitted to the licensing 
authority as part of the annual licensing renewal 
application. 

History Note: Authority G.S. 131D-10.5; 143B-153; S.L. 

1999-237; 

Ejf.Julyl, 1999; 

Temporary Amendment Eff. July 20, 1999; 

Temporary Amendment Eff. May 15, 2000. 



TITLE 15A - DEPARTMENT OF ENVIRONMENT 
AND NATURAL RESOURCES 

Rule-making Agency: Environmental Management 
Commission 

Rule Citation: ISA NCAC 2N .0304 

Effective Date: May 1. 2000 

Findings Reviewed and Approved by: Beecher R. Gray 

Autliority for the rule-malting: G.S. 143-215(a)(15); 1438- 



282(2)(h); 150B-14(c) 

Reason for Proposed Action: The U ST Section is requesting 
that a temporary rule modifying secondary containment 
requirements for certain UST systems be enacted with an 
effective date of May 1, 2000, to immediately mitigate a serious 
and unforeseen threat to the environment and public health, 
safety and welfare. Under current rules, secondary containment 
for USTs is required where public water supply wells are 
located in close proximity to USTs because of the greater 
potential risk. At the time the rules were enacted, the regulated 
community, as well as the regulators, did not clearly understand 
that water supply wells at most convenience stores and service 
stations are considered to be public water supplies. The tank 
rules do not specifically state what a public water supply well is, 
but refer the reader to the Public Water Supply (PWS) rules 
(ISA NCAC 18C) and the definitions contained therein. PWSdid 
not begin to focus their inspections on these transient, non- 
community water supplies until 1998 when they began to 
inventory those locations. Until then, our agency had not 
received adequate clarification that the wells at most 
convenience stores and service stations were considered to be 
public water supplies. After the upgrade deadline in 1998, and 
since the PWS inspections began, we have found a large number 
of tank owners are not in compliance with these rules. Tank 
owners spent in the range of Fifteen Thousand Dollars 
(SIS, 000) to Fifty Thousand Dollars ($S0,000) to upgrade their 
systems to the 1 998 standards. Requiring them to now replace 
their tank systems with secondary containment tank systems 
would cause an additional expenditure of One Hundred Twenty- 
Five Thousand Dollars ($12S,000) (based on three tanks per 
facility) and has resulted in substantial non-compliance with the 
current rule due to extreme financial hardship. Therefore, 
enforcement of the original rule will not substantially increase 
the rate ofcompliance, nor will it quickly or significantly reduce 
the hazard associated with these substandard USTs. We now 
know that drinking water supplies at approximately 4800 
facilities across North Carolina are at risk of becoming 
contaminated if leaks from UST systems occur at these 
locations. The proposed rule mandates that enhanced leak 
detection must be implemented immediately for early detection 
of releases in order to protect human health and the 
environment. This will involve utilizing some of the most 
rigorous leak detection monitoring techniques available and 
annual sampling of all affected water supply wells. Monitoring 
will help ensure that contamination will not reach public water 
supplies. Secondary) containment will still be required, but it 
will be implemented on an alternate schedule. Enhanced leak 
detection with annual sampling of the affected water supply 
wells and the alternative schedule for secondary containment is 
not available to owners of UST systems located within 1 00 feet 
of a public water supply well or within SO feet of any other well 
used for human consumption. Immediate compliance with 
secondary containment requirements in these areas is critical to 
protecting water supplies; no modifications to the current rule 
are provided. The proposed rule establishes that all applicable 
new UST systems and all replacements to applicable UST 
systems installed after the effective date of the proposed rule 



14:22 



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1998 



TEMPORA RYR ULES 



must have secondary containment at the time of installation or 
replacement. 

The proposed rule is intended to protect public welfare and the 
environment and implement an achievable corrective action 
schedule. The proposed rule was drafted with extensive input 
from the stakeholders, which included various environmentalists 
as well as the regulated community. An abbreviated notice was 
published in the April 1 7th NC Register. Upon approval by the 
Codifier of Rules this rule will become effective May 1, 2000 and 
published in the May 15, 2000 Register. 

Comment Procedures: Comments submitted to: Ruth Strauss, 
DENR, Division of Waste Management, UST Section, 1637 Mail 
Service Center, Raleigh, NC 27699- 163 7. Telephone: 919-733- 
1330. 

CHAPTER 2 - ENVIRONMENTAL MANAGEMENT 

SUBCHAPTER 2N - UNDERGROUND STORAGE 
TANKS 

SECTION .0300 - UST SYSTEMS: DESIGN, 

CONSTRUCTION, INSTALLATION, AND 

NOTIFICATION 

.0304 IMPLEMENTATION SCHEDULE FOR 

PERFORMANCE STANDARDS FOR NEW UST 
SYSTEMS AND UPGRADING 
REQUIREMENTS FOR EXISTING UST 
SYSTEMS LOCATED IN AREAS DEFINED IN 
RULE .0301(d) 
(a) The following implementation schedule shall only apply 
to UST owners and operators of UST systems located within 
areas defined in Rule .030 Ud) of this Section and who are in 
compliance with Paragraph (b) of this Rule. This 
implementation schedule shall be used by the Department for 
tank owners and operators to comply with the secondary 
containment requirements contained in Rule .030Ud) of this 
Section for new UST systems and the secondary containment 
requirements contained in Rule .0302(3) of this Section for 
existing UST systems located within areas defined in Rule 
.0301(d) of this Section. 

(1) All new UST systems and all replacements to a UST 
system shall be provided with secondary containment 
in accordance with 40 CFR 280.42 (b)( 1 ) through 
(b)(4) as of the effective date of this Rule. 

(2) All steel or metal connected piping and ancillary 
equipment of a UST system regardless of date of 
installation, shall be provided with secondary 
containment in accordance with 40 CFR 280.42 (b)( 1 ) 
through (b)(4) as of January 1. 2005. 

(3) All fiberglass or non-metal connected piping and 
ancillary equipment of a UST system regardless of 
date of installation, shall be provided with secondary 
containment in accordance with 40 CFR 280.42 (b)(1) 
through (b)(4) as of January 1, 2008. 

(4) All UST systems installed on or before January L, 
1 99 1 shall be provided with secondary containment in 



(5} 



accordance with 40 CFR 280.42 (b)(1) through (b)(4) 
as of January 1. 2008. 

All UST systems installed after January 1, 1991 shall 
be provided with secondary containment in 
accordance with 40 CFR 280.42 (b)(1) through (b)(4) 



as of January 1, 2016. 
(b) All owners and operators of UST systems shall impl 
e following enhanced leak detection monitoring by Octo 



lement 
the following enhanced leak detection monitoring by October 1 . 
2000. The enhanced leak detection monitoring must consist of 
the following: 
0} Install 



a continuous monitoring automatic tank 
gauging system (ATG) for each UST; 

(2) Install an electronic line leak detector (ELLD) for 
each pressurized piping system; 

(3) Conduct at least one valid 0.1 gallon per hour (gph) 
test per month on each UST system; 

(4) Conduct a line tightness test capable of detecting a 
leak rate of 0.1 gph. at least once per year for each 
suction piping system. No release detection is 
required for suction piping that is designed and 
constructed in accordance with 40 CFR 280.41 
(b)(2)(i) through (b)(iy); 

(5) If the UST system is located within 500 feet of a 
public water supply well or within 100 feet of any 
other well supplying water for human consumption, 
sample the supply well at least once per year. The 
sample collected from the well must be analyzed for 
the constituents of petroleum using the following 
methods: 

(A) EPA Methods 601 and 602. including methyl 
tertiary butyl ether, isopropyl ether and 
xylenes; 

(B) EPA Method 625; and 

(C) If a waste oil UST system is present which 
does not meet the requirements for secondary 
containment in accordance with 40 CFR 
280.42 (b)( 1 ) through (b)(4), the sample should 
also be analyzed for lead and chromium using 
Standard Method 3030C preparation. 

(6) The first sample collected in accordance with 
Subparagraph rb)(5) of this Rule shall be collected 
and the results received by the Division on or before 
October 1 . 2000 and yearly thereafter. 

History Note: AuthorityG.S 143-215(a)(15); 143B-282(2)(h); 

150B-14(c); 

Temporary Adoption Eff. May 1, 2000. 

Rule-making Agency: Coastal Resources Commission 
Rule Citation: ISA NCAC 7H .0308, .1705 
Effective Date: May 22, 2000 
Findings Reviewed and Approved by: Beecher R. Gray 



1999 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



TEMPORARY RULES 



Authority for the rule-making: G.S. 113A-107; 150B-21.1 

Reason for Proposed Action: It has been determined that 
these temporary erosion control structures need to stay in place 
to encourage and allow adequate time for beach re-nourishment 
and for re-vegetation efforts to be carried out. 

Comment Procedures: Comments should be directed to 
Charles S. Jones c/o Jessica Gill, 1638 Mail Service Center, 
Raleigh, NC 27699-1638. Telephone 919-733-2293. 

CHAPTER 7 - COASTAL MANAGEMENT 

SUBCHAPTER 7H - STATE GUIDELINES FOR 
AREAS OF ENVIRONMENTAL CONCERN 

SECTION .0300 - OCEAN HAZARD AREAS 

.0308 SPECIFIC USE STANDARDS FOR OCEAN 
HAZARD AREAS 

(a) Ocean Shoreline Erosion Control Activities: 
(1) Use Standards Applicable to all Erosion Control 
Activities: 

(A) All oceanfront erosion response activities shall 
be consistent with the general policy statements 
in 15ANCAC7M.0200. 

(B) Permanent erosion control structures may 
cause significant adverse impacts on the value 
and enjoyment of adjacent properties or public 
access to and use of the ocean beach, and, 
therefore, are prohibited. Such structures 
include, but are not limited to: bulkheads; 
seawalls; revetments; jetties; groins and 
breakwaters. 

(C) Rules concerning the use of oceanfront erosion 
response measures apply to all oceanfront 
properties without regard to the size of the 
structure on the property or the date of its 
construction. 

(D) All permitted oceanfront erosion response 
projects, other than beach bulldozing and 
temporary placement of sandbag structures, 
shall demonstrate sound engineering for their 
planned purpose. 

(E) Shoreline erosion response projects shall not 
be constructed in beach or estuarine areas that 
sustain substantial habitat for important fish 
and wildlife species unless adequate mitigation 
measures are incorporated into project design, 
as set forth in Rule .0306(1) of this Section. 

(F) Project construction shall be timed to minimize 
adverse effects on biological activity. 

(G) Prior to completing any erosion response 
project, all exposed remnants of or debris from 
failed erosion control structures must be 
removed by the permittee. 

(H) Erosion control structures that would otherwise 
be prohibited by these standards may be 



permitted on finding that: 
(i) the erosion control structure is necessary 
to protect a bridge which provides the 
only existing road access to a substantial 
population on a barrier island; that is 
vital to public safety; and is imminently 
threatened by erosion; 

(ii) the erosion response measures of 
relocation, beach nourishment or 
temporary stabilization are not adequate 
to protect public health and safety; and 

(iii) the proposed erosion control structure 
will have no adverse impacts on 
adjacent properties in private ownership 
and will have minimal impacts on public 
use of the beach. 
(I) Structures that would otherwise be prohibited 

by these standards may also be permitted on 

finding that: 

(i) the structure is necessary to protect an 
historic site of national significance, 
which is imminently threatened by 
shoreline erosion; and 

(ii) the erosion response measures of 
relocation, beach nourishment or 
temporary stabilization are not adequate 
and practicable to protect the site; and 

(iii) the structure is limited in extent and 
scope to that necessary to protect the 
site; and 

(i v) any permit for a structure under this Part 
(I) of this Subparagraph may be issued 
only to a sponsoring public agency for 
projects where the public benefits 
clearly outweigh the short or long range 
adverse impacts. Additionally, the 
permit must include conditions 
providing for mitigation or minimization 
by that agency of any significant and 
unavoidable adverse impacts on 
adjoining properties and on public 
access to and use of the beach. 
(J) Structures that would otherwise be prohibited 

by these standards may also be permitted on 

finding that: 

(i) the structure is necessary to maintain an 
existing commercial navigation channel 
of regional significance within federally 
authorized limits; and 

(ii) dredging alone is not practicable to 
maintain safe access to the affected 
channel; and 

(iii) the structure is limited in extent and 
scope to that necessary to maintain the 
channel; and 

(iv) the structure will not result in 
substantial adverse impacts to fisheries 
or other public trust resources; and 



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2000 



TEMPORAR Y RULES 



(v) any permit for a structure under this Part 

(J) of this Subparagraph may be issued 

only to a sponsoring public agency for 

projects where the public benefits 

clearly outweigh the short or long range 

adverse impacts. Additionally, the 

permit must include conditions 

providing for mitigation or minimization 

by that agency of any significant and 

unavoidable adverse impacts on 

adjoining properties and on public 

access to and use of the beach. 

(K) Proposed erosion response measures using 

innovative technology or design will be 

considered as experimental and will be 

evaluated on a case-by-case basis to determine 

consistency with 15A NCAC 7M .0200 and 

general and specific use standards within this 

Section. 

(2) Temporary Erosion Control Structures: 

(A) Permittable temporary erosion control 
structures shall be limited to sandbags placed 
above mean high water and parallel to the 
shore. 

(B) Temporary erosion control structures as 
defined in Part (2)(A) of this Subparagraph 
may be used only to protect imminently 
threatened roads and associated right of ways, 
and buildings and associated septic systems. A 
structure will be considered to be imminently 
threatened if its foundation septic system, or 
right-of-way in the case of roads, is less than 
20 feet away from the erosion scarp. Buildings 
and roads located more than 20 feet from the 
erosion scarp or in areas where there is no 
obvious erosion scarp may also be found to be 
imminently threatened when site conditions, 
such as a flat beach profile or accelerated 
erosion, tend to increase the risk of imminent 
damage to the structure. 

(C) Temporary erosion control structures may be 
used to protect only the principal structure and 
its associated septic system, but not such 
appurtenances as gazebos, decks or any 
amenity that is allowed as an exception to the 
erosion setback requirement. 

(D) Temporary erosion control structures may be 
placed seaward of a septic system when there 
is no alternative to relocate it on the same or 
adjoining lot so that it is landward of or in line 
with the structure being protected. 

(E) Temporary erosion control structures must not 
extend more than 20 feet past the sides of the 
structure to be protected. The landward side of 
such temporary erosion control structures shall 
not be located more than 20 feet seaward of the 
structure to be protected or the right-of-way in 
the case of roads. 



(F) 



A temporary erosion control structure may 
remain in place for up to two years after the 
date of approval if it is protecting a building 
with a total floor area of 5000 sq. ft. or less, or, 
for up to five years if the building has a total 
floor area of more than 5000 sq. ft. A 
temporary erosion control structure may remain 
in place for up to five years if it is protecting a 
bridge or a road. The property owner shall be 
responsible for removal of the temporary 
structure within 30 days of the end of the 
allowable time period. A temporary sandbag 
erosion control structure with a base width not 
exceeding 20 feet and a height not exceeding 
six feet may remain in place for up to five 
years or until May 2008. whichever is later 
regardless of the size of the structure if the 
community in which it is located is actively 
pursuing a beach nourishment project as of 
Mav 22, 2000. For purposes of this Rule, a 
community is considered to be actively 
pursuing a beach nourishment project if it has: 
(i) been issued a CAMA permit permit, 
where necessary, approving such 



(ii) 



project, or 
been — deemed 



^worthy — of — further 



consideration by a U.S. Ai 'ii iy Co r ps o f 

Enginee r s' — Beach — Nou r ishment 

Reconnaissance Study, o r an ongoing 

feasibility study by the U.S. Army 

Corps of Engineers and a commitment 

of local money, when necessary, or 

(iii) received a favorable economic 

evaluation report on a federal project 

approved prior to 1986. 

If beach nourishment is rejected by the 

sponsoring agency or community, or ceases to 

be actively planned for a section of shoreline. 

the time extension is void and existing 

sandbags are subject to all applicable time 

limits set forth in Parts (A) through fN) of this 

Subparagraph. Sandbag structures within 

nourishment project areas that exceed the 20 

foot base width and six foot height limitation 

may be reconstructed to meet the size limitation 

and be eligible for this time extension: 

otherwise they must be removed by Mav f, 

2000 pursuant to Part £N} of this 

Subparagraph. 

(G) Once the temporary erosion control structure is 

determined to be unnecessary due to relocation 

or removal of the threatened structure, or beach 

nourishment, it must be removed by the 

property owner within 30 days. 

(H) Removal of temporary erosion control 

structures shall not be required if they are 

covered by dunes with vegetation sufficient to 

be considered stable and natural. 



2001 



NORTH CAROLINA REGISTER 



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14:22 



TEMPORARY RULES 






(I) The property owner shall be responsible for the 
removal of remnants of all portions of any 
damaged temporary erosion control structure. 
(J) Sandbags used to construct temporary erosion 
control structures shall be tan in color and three 
to five feet wide and seven to 15 feet long 
when measured flat. Base width of the 
structure shall not exceed 20 feet, and the 
height shall not exceed six feet. 
(K) Soldier pilings and other types of devices to 

anchor sandbags shall not be allowed. 
(L) An imminently threatened structure may be 
protected only once, regardless of ownership. 
In the case of a building, a temporary erosion 
control structure may be extended, or new 
segments constructed, if additional areas of the 
building become imminently threatened. 
Where temporary structures are installed or 
extended incrementally, the time period for 
removal under Part (F) of this Subparagraph 
shall begin at the time the initial erosion 
control structure is installed. For the purpose 
of this Rule: 
(i) a building and septic system shall be 

considered as separate structures, 
(ii) a road or highway shall be allowed to be 
incrementally protected as sections 
become imminently threatened. The 
time period for removal of each section 
of sandbags shall begin at the time that 
section is installed in accordance with 
Part (F) of this Subparagraph. 
(M) Existing sandbag structures may be repaired or 
replaced within their originally permitted 
dimensions during the time period allowed 
under Part (F) of this Subparagraph. 
(N) Existing sandbag structures that have been 
properly installed prior to May 1 , 1 995 shall be 
allowed to remain in place according to the 
provisions of Parts (F), (G) and (H) of this 
Subparagraph with the pertinent time periods 
beginning on May 1, 1995. 

(3) Beach Nourishment. Sand used for beach 
nourishment shall be compatible with existing grain 
size and type. Sand to be used for beach nourishment 
shall be taken only fi-om those areas where the 
resulting environmental impacts will be minimal. 

(4) Beach Bulldozing. Beach bulldozing (defined as the 
process of moving natural beach material from any 
point seaward of the first line of stable vegetation to 
create a protective sand dike or to obtain material for 
any other purpose) is development and may be 
permitted as an erosion response if the following 
conditions are met: 

(A) The area on which this activity is being 
performed must maintain a slope of adequate 
grade so as to not endanger the public or the 
public's use of the beach and shall follow the 



pre-emergency slope as closely as possible. 
The movement of material utilizing a 
bulldozer, front end loader, backhoe, scraper, 
or any type of earth moving or construction 
equipment shall not exceed one foot in depth 
measured from the pre-activity surface 
elevation; 

(B) The activity must not exceed the lateral bounds 
of the applicant's property unless he has 
permission of the adjoining land owner(s); 

(C) Movement of material from seaward of the low 
water line will require a CAMA Major 
Development and State Dredge and Fill Permit; 

(D) The activity must not significantly increase 
erosion on neighboring properties and must not 
have a significant adverse effect on important 
natural or cultural resources; 

(E) The activity may be undertaken to protect 
threatened on-site waste disposal systems as 
well as the threatened structure's foundations. 

(b) Dune Establishment and Stabilization. Activities to 
establish dunes shall be allowed so long as the following 
conditions are met: 

(1) Any new dunes established shall be aligned to the 
greatest extent possible with existing adjacent dune 
ridges and shall be of the same general configuration 
as adjacent natural dunes. 

(2) Existing primary and frontal dimes shall not, except 
for beach nourishment and emergency situations, be 
broadened or extended in an oceanward direction. 

(3) Adding to dimes shall be accomplished in such a 
manner that the damage to existing vegetation is 
minimized. The filled areas will be immediately 
replanted or temporarily stabilized until planting can 
be successfully completed. 

(4) Sand used to establish or strengthen dunes must be of 
the same general characteristics as the sand in the area 
in which it is to be placed. 

(5) No new dunes shall be created in inlet hazard areas. 

(6) Sand held in storage in any dune, other than the 
frontal or primary dune, may be redistributed within 
the AEC provided that it is not placed any farther 
oceanward than the crest of a primary dune or 
landward toe of a frontal dune. 

(7) No disturbance of a dune area will be allowed when 
other techniques of construction can be utilized and 
alterative site locations exist to avoid unnecessary 
dune impacts. 

(c) Structural Accessways: 

(1) Structural accessways shall be permitted across 
primary dunes so long as they are designed and 
constructed in a manner which entails negligible 
alteration on the primary dune. Structural accessways 
may not be considered threatened structures for the 
purpose of Paragraph (a) of this Rule. 

(2) An accessway shall be conclusively presumed to 
entail negligible alteration of a primary dune: 

(A) The accessway is exclusively for pedestrian 



14:22 



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May 15, 2000 



2002 



TEMPORARY RULES 



use; 

(B) The accessway is less than six feet in width; 
and 

(C) The accessway is raised on posts or pilings of 
five feet or less depth, so that wherever 
possible only the posts or pilings touch the 
frontal dune. Where this is deemed impossible, 
the structure shall touch the dune only to the 
extent absolutely necessary. In no case shall an 
accessway be permitted if it will diminish the 
dune's capacity as a protective barrier against 
flooding and erosion; and 

(D) Any areas of vegetation that are disturbed are 
revegetated as soon as feasible. 

(3) An accessway which does not meet Parts (2)(A) and 
(B) of this Paragraph shall be permitted only if it 
meets a public purpose or need which cannot 
otherwise be met and it meets Part (2)(C) of this 
Paragraph. Public fishing piers shall not be deemed 
to be prohibited by this Rule, provided all other 
applicable standards are met. 

(4) In order to avoid weakening the protective nature of 
primary and frontal dunes a structural accessway 
(such as a "Hatteras ramp") shall be provided for any 
off-road vehicle (ORV) or emergency vehicle access. 
Such accessways shall be no greater than 10 feet in 
width and shall be constructed of wooden sections 
fastened together over the length of the affected dune 
area. 

(d) Construction Standards. New construction and substantial 
improvements (increases of 50 percent or more in value to the 
existing square footage) to existing construction shall comply 
with the following standards: 

(1) In order to avoid unreasonable danger to life and 
property, all development shall be designed and 
placed so as to minimize damage due to fluctuations 
in ground elevation and wave action in a 100 year 
storm. Any building constructed within the ocean 
hazard area shall comply with the North Carolina 
Building Code and the local flood damage prevention 
ordinance as required by the National Flood Insurance 
Program. The building code or flood damage 
prevention ordinance may impose additional or more 
restrictive requirements than the following AEC 
standards. 

(2) All structures in the ocean hazard area shall be on 
pilings not less than eight inches in diameter if round 
or eight inches to a side if square. 

(3) All pilings shall have a tip penetration greater than 
eight feet below the lowest ground elevation under the 
structure. For those structures so located on the 
primary dune or nearer to the ocean, the pilings must 
extend to five feet below mean sea level. 

(4) All foundations shall be adequately designed to be 
stable during applicable fluctuations in ground 
elevation and wave forces during a 100 year storm. 
Cantilevered decks and walkways shall meet this 
standard or shall be designed to break-away without 



structural damage to the main structure. 

History Note: Filed as a Temporary Amendment Ejf. June 20, 

1989, for a period of 180 days to expire on December 1 7, 1989; 

Authority G.S. 1 1 3A- 1 07(a) ; 1 13A-107(b); 

113A-113(b)(6)a.,b.,d; 113A-124; 

Eff.June 1, 1979; 

Amended Eff. August 3, 1992; December 1, 1991; March 1, 

1990; December 1, 1989; 

RRC Objection Ejf. November 19, 1992 due to ambiguity; 

RRC Objection Eff. January 21, 1993 due to ambiguity; 

Amended Eff. March 1, 1993; December 28, 1992; 

RRC Objection Eff. March 16, 1995 due to ambiguity; 

Amended Eff. April 1, 1999; January 1, 1999; December 1, 

1996; February 1, 1996; May 4,1995; 

Temporary Amendment Eff. May 22, 2000. 

SECTION .1700 - GENERAL PERMIT FOR 

EMERGENCY WORK REQUIRING A CAMA AND/OR 

A DREDGE AND FILL PERMIT 

.1705 SPECIFIC CONDITIONS 

(a) Temporary Erosion Control Structures in the Ocean 
Hazard AEC. 

( 1 ) Permittable temporary erosion control structures shall 
be limited to sandbags placed above mean high water 
and parallel to the shore. 

(2) Temporary erosion control structures as defined in 
Subparagraph ( 1 ) of this Paragraph may be used only 
to protect imminently threatened roads and associated 
right of ways, and buildings and associated septic 
systems. A structure will be considered to be 
imminentlythreatened if its foundation, septic system, 
or, right-of-way in the case of roads, is less than 20 
feet away from the erosion scarp. Buildings and roads 
located more than 20 feet from the erosion scarp or in 
areas where there is not obvious erosion scarp may 
also be found to be imminently threatened when site 
conditions, such as a flat beach profile or accelerated 
erosion, tend to increase the risk of imminent damage 
to the structure. 

(3) Temporary erosion control structures may be used to 
protect only the principal structure and its associated 
septic system, but not such appurtenances as gazebos, 
decks or any amenity that is allowed as an exception 
to the erosion setback requirement. 

(4) Temporary erosion control structures may be placed 
seaward of a septic system when there is no 
alternative to relocate it on the same or adjoining lot 
so that it is landward of or in line with the structure 
being protected. 

(5) Temporary erosion control structures must not extend 
more than 20 feet past the sides of the structure to be 
protected. The landward side of such temporary 
erosion control structures shall not be located more 

. than 20 feet seaward of the structure to be protected 
or the right-of-way in the case of roads. 

(6) The permittee shall be responsible for the removal of 



2003 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



TEMPORAR Y RULES 



(7) 



(8) 



(9) 



(10) 



remnants of all or portions of any damaged temporary 
erosion control structure. 

A temporary erosion control structure may remain in 
place for up to two years after the date of approval if 
it is protecting a building with a total floor area of 
5000 sq. ft. or less, or, for up to five years if the 
building has a total floor area of more than 5000 sq. 
ft. A temporary erosion control structure may remain 
in place for up to five years if it is protecting a bridge 
or a road. The property owner shall be responsible for 
removal of the temporary structure within 30 days of 
the end of the allowable time period. A temporary 
sandbag erosion control structure with a base width 
not exceeding 20 feet and a height not exceeding six 
feet may remain in place for up to five years or until 
May 2008, whichever is later, regardless of the size of 
the structure it is protecting if the community in which 
it is located is actively pursuing a beach nourishment 
project as of May 22, 2000. For purposes of this 
Rule, a community is considered to be actively 
pursuing a beach nourishment project if it has: 

(A) been issued a CAMA permi t permit, where 
necessary, approving such project, or 

(B) been deemed wo r thy of fu rt he r considera t ion 
by a U.S. Army Cor p s of Enginee r s' Beach 
Nourishmen t Reconnaissance Study, o r an 
ongoing feasibility study by the U.S. Army 
Corps of Engineers and a commitment of local 
money, when necessary, or 

(C) received a favorable economic evaluation 
report on a federal project approved prior to 
1986. 

If beach nourishment is rejected by the sponsoring 
agency or community, or ceases to be actively planned 
for a section of shoreline, the time extension is void 
and existing sandbags are subject to all applicable 
time limits set forth in Parts (1) through (15) of this 
Subparagraph. Sandbag structures within 
nourishment project areas that exceed the 20 foot base 



width and six foot height limitation 



be 



reconstructed to meet the size limitation and be 

eligible for this time extension: otherwise they must 

be removed by May 1 . 2000 pursuant to Part ( 1 5) of 

this Subparagraph. 

Once the temporary erosion control structure is 

determined to be unnecessary due to relocation or 

removal of the threatened s ti Tic t u r e, structure or beach 

nourishment, it must be removed by the permittee 

within 30 days. 

Removal of temporary erosion control structures shall 

not be required if they are covered by dunes with 

vegetation sufficient to be considered stable and 

natxiral. 

Sandbags used to construct temporary erosion control 

structures shall be tan in color and three to five feet 

wide and seven to 1 5 feet long when measured flat. 

Base width of the structure shall not exceed 20 feet, 

and the height shall not exceed six feet. 



(11) Soldier pilings and other types of devices to anchor 
sandbags shall not be allowed. 

(12) Excavation below mean high water in the Ocean 
Hazard AEC may be allowed to obtain material to fill 
sandbags used for emergency protection. 

(13) An imminently threatened structure may only be 
protected once regardless of ownership. In the case of 
a building, a temporary erosion control structure may 
be extended, or new segments constructed, if 
additional areas of the building become imminently 
threatened. Where temporary structures are installed 
or extended incrementally, the time period for 
removal under Subparagraph (7) of this Paragraph 
shall begin at the time the initial erosion control 
structure is installed. For the purpose of this Rule: 

(A) a building and septic system will be considered 
as separate structures. 

(B) a road or highway shall be allowed to be 
incrementally protected as sections become 
imminently threatened. The time period for 
removal of each section of sandbags shall 
begin at the time that section is installed in 
accordance with Subparagraph (7) of this 
Paragraph. 

(14) Existing sandbag structures may be repaired or 
replaced within their originally permitted dimensions 
during the time period allowed under Subparagraph 
(7) of this Paragraph. 

(15) Existing sandbag structures that have been properly 
installed prior to May 1, 1995 shall be allowed to 
remain in place according to the provisions of 
Subparagraphs (7), (8) and (9) of this Paragraph with 
the pertinent time periods beginning on May 1 , 1 995. 

(b) Erosion Control Structures in the Estuarine Shoreline, 
Estuarine Waters, and Public Trust AECs. Work permitted by 
this general permit shall be subject to the following limitations: 

(1) no work shall be permitted other than that which is 
necessary to reasonably protect against or reduce the 
imminent danger caused by the emergency or to 
restore the damaged property to its condition 
immediately before the emergency; 

(2) the erosion control structure shall be located no more 
than 20 feet waterward of the endangered structure; 

(3) fill material used in conjunction with emergency work 
for storm or erosion control in the Estuarine 
Shoreline, Estuarine Waters and Public Trust AECs 
shall be obtained from an upland source. 

(c) Protection, Rehabilitation, or Temporary Relocation of 
Public Facilities or Transportation Corridors. 

( 1 ) Work permitted by this general permit shall be subject 
to the following limitations: 

(A) no work shall be permitted other than that 
which is necessary to reasonably protect 
against or reduce the imminent danger caused 
by the emergency or to restore the damaged 
property to its condition immediately before the 
emergency; 

(B) the erosion control structure shall be located no 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2004 



TEMPORARY RULES 



more than 20 feet waterward of the endangered 
structure; 

(C) any fill materials used in conjunction with 
emergency work for storm or erosion control 
shall be obtained from an upland source except 
that dredging for fill material to protect public 
facilities or transportation corridors will be 
considered in accordance with the standards in 
15ANCAC7H.0208; 

(D) all fill materials or structures associated with 
temporary relocations which are located within 
Coastal Wetlands, Estuarine Water, or Public 
Trust AECs shall be removed after the 
emergency event has ended and the area 



restored to pre-disturbed conditions. 
(2) This permit only authorizes the immediate protection 
or temporary rehabilitation or relocation of existing 
public facilities. Long-term stabilization or relocation 
of public facilities shall be consistent with local 
governments' post-disaster recovery plans and policies 
which are part of their Land Use Plans. 

History Note: Authority G.S. 113-229(cl); 113A-I07(a),(b); 

113A-113(b); 113A-118.1; 

Eff. November 1, 1985; 

Amended Eff. April 1. 1999; February 1, 1996; June 1,1995; 

Temporary Amendment Eff. May 22, 2000. 



2005 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



R ULES REVIEW COMMISSION 



This Section contains the agenda for the next meeting of the Rules Review Commission on Thursday. May 18, 2000, 10:00 
a.m. . at 1 307 Glenwood Aye., Assembly Room, Raleigh, NC. Anyone wishing to submit written comment on any rule before 
the Commission should submit those comments to the RRC staff, the agency, and the individual Commissioners by Friday. 
May 12. 2000. at 5:00 p.m. Specific instructions and addresses may be obtained from the Rules Review Commission at 9 1 9- 
733-2721 . Anyone wishing to address the Commission should notify the RRC staff and the agency at least 24 hours prior to 
the meeting. 



RULES REVIEW COMMISSION MEMBERS 



Appointed by Senate 

Teresa L. Smallwood, Chairman 
John Arrowood 

Laura Devan 

Jim Funderburke 

David Twiddy 



Appointed by House 

R. Palmer Sugg, 1" Vice Chairman 

Jennie J. Hayman, 2""" Vice Chairman 

Walter Futch 

Paul Powell 

George Robinson 



RULES REVIEW COMMISSION MEETING DATES 



May 18,2000 
June 15,2000 
July 20, 2000 



August 17,2000 
September 21, 2000 
October 19, 2000 



LOG OF FILINGS 
RULES SUBMITTED: March 20, 2000 through April 20, 2000 



AGENCY/DIVISION RULE NAME 


RULE CITATION 


ACTION 




AGRICULTURE, DEPARTMENT OF/STRUCTURAL PEST CONTROL COMMITTEE 






Importation Requirements: Equine 


2 NCAC 52B .0206 


Amend 




Definitions 


2NCAC52B.0401 


Amend 




Disposition of Reactors 


2 NCAC 52B .0402 


Repeal 




Exposed Horses 


2 NCAC 52B .0403 


Repeal 




Report of Test Results 


2 NCAC 52B .0404 


Repeal 




Fees for Blood Test 


2 NCAC 52B .0405 


Amend 




EIA Test Required 


2 NCAC 52B .0406 


Amend 




Testing for EIA 


2 NCAC 52B .0407 


Amend 




Positive Reactors 


2 NCAC 52B .0408 


Amend 




Adjacent or Exposed Equine 


2 NCAC 52B .0409 


Amend 




Market and Sale Responsibility 


2 NCAC 52B .0410 


Amend 




Market or Sale Veterinarians 


2 NCAC 52B .0411 


Amend 




Slaughter Sales 


2 NCAC 528 .0412 


Amend 




DENR/DIVISION OF FOREST RESOURCES 








Burner Certification 


15 NCAC 9C. 1102 


Adopt 




Forest Land 


15 NCAC 9C. 1103 


Adopt 




Prescription Filing 


15 NCAC 9C. 1104 


Adopt 




SECRETARY OF STATE 








How to Contact Electronic Commerce Section 


18 NCAC 10.0101 


Adopt 




Applicable Definitions 


18 NCAC 10.0201 


Adopt 




Public Key Technology Licensing 


18 NCAC 10.0301 


Adopt 




Public Key Technology 


18 NCAC 10.0302 


Adopt 




Certificate Policy General Provisions 


18 NCAC 10.0303 


Adopt 




Identificadon and Authentication 


18 NCAC 10.0304 


Adopt 




Operational Requirements 


18 NCAC 10.0305 


Adopt 




Personnel Security Controls 


18 NCAC 10.0306 


Adopt 




Technical Security Controls 


18 NCAC 10.0307 


Adopt 




14:22 NORTH CAROLINA REGISTER May 


75, 2000 


2006 



RULES REVIEW COMMISSION 



Certificate and Certificate Revocation 

Rule Administration 

Alternate Technologies and Provisional Licensing 

Civil Sanctions 

Criminal Penalties and Injunctive Relief 

Reciprocal Agreements 
STATE BOARDS/MIDWIFERY JOINT COMMITTEE 
Nurse Midwife Applicant Status 



18NCAC 10 


.0308 


Adopt 


18NCAC 10 


.0309 


Adopt 


18NCAC10 


.0701 


Adopt 


18NCAC 10 


.0801 


Adopt 


18NCAC 10 


.0802 


Adopt 


18NCAC 10 


.0901 


Adopt 



21NCAC33.0106 



Amend 



RULES REVIEW COMMISSION 

April 13, 2000 

MINUTES 

The Rules Review Commission met on March 16, 2000, in the Assembly Room of the Methodist Building, 1307 Glenwood 
Avenue, Raleigh, North Carolina. Commissioners in attendance were Chairman Teresa Smallwood, Palmer Sugg, Jennie J. 
Hayman, John Arrowood, Laura Devan, David R. Twiddy, Walter Futch, and George Robinson. 

Staff members present were: Joseph J. DeLuca, Staff Director; Bobby Bryan, Rules Review Specialist; and Sandy Webster. 



The following people attended: 
Trish Wilson 
Shamese Ransome 
Allan Greene 
Jerry Carter 
Jim Upchurch 
Jan Brickley 
Doug Barrick 
Jackie Stalnaker 
Carol Teal 
Dedra Alston 
Tom West 
Thomas Allen 
Ellie Sprenkel 
Emily Lee 
Leonard Mangum 
Beverly Wheeler 
Marc Lodge 
Mike DeMaria 
Justus Everett 
Bill Hopper 
Jack Forshey 
Brad Barringer 
Paul Billings 
Jean Stanley 
Jessica Gill 
Mike Lopozanski 
Trish Payne 
Portia Rochelle 
Marjorie Donaldson 
Steven Hairston 
Joan Troy 
Kent Nelson 
Warren Plonk 
David Tuttle 
Brenda Grady 
Grady Ballentine 
Jackie Sheppard 



News and Observer 

DHHS/SSC 

LABOR 

N C Board of Examiners for Engineers and Surveyors 

DHHS/DFS 

DHHS/DFS 

DHHS/DFS 

DHHSA^ocational Rehabilitation 

Friends of Residents 

DENR 

Poyner and Spruill 

DENR/DAQ 

Insurance 

Transportation 
LABOR 

NCAFCA 

DHHS 

Blue Ridge Drilling and Blasting 

ABE Utilities 

NCLTCA 

LABOR 

B.R.S. Inc. 

Billings and Garrett, Inc. 

Midwifery Joint Committee 

DENR/Coastal Resources 
DENR/Coastal Resources 

Midwifery Joint Committee 

DHHS/DMA 

NCDVRS 

NCDVRS 

DENRAVildlife Resources Commission 

DENR/Wildlife Resources Commission 

Office of State Budget and Management 

Engineers and Surveyors 

Transportation 

Attorney General 

DHHS/DFS 



2007 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



RULES REVIEW COMMISSION 



Jim Wellons Attorney General 

Shirley Bullard DHHS 

Linda McDaniel DHHS/DFS 

Angela Waldorf Labor 

Jack Nichols N C Nursing Home Administrators 

E. Ann Christian N C Substance Abuse Professional Certification Board 

APPROVAL OF MINUTES 

The meeting was called to order at 10:02 a.m. with Chairman Smallwood presiding. The Chairman asked for any discussion, 
comments, or corrections concerning the minutes of the March 16, 2000 meeting. There being none, the minutes were approved. 

FOLLOW-UP MATTERS 

10 NCAC 42A .0801 - .0810: DHHS/Social Services Commission- No action was necessary on these rules. 

13 NCAC 7F .0601 , .0602, .0603, .0604, .0605, and .0606: DEPARTMENT OF LABOR - No action was necessary on these rules. 

1 5 A NCAC 7M .0403: DENR/Coastal Resources Commission - The rewritten rule submitted by the agency was approved by the 
Commission. 

15A NCAC 21 F .1203 and .1204: DHHS/Commission for Health Services - The rewritten rules submitted by the agency were 
approved by the Commission. 

1 9 A NCAC 3G .0205 : TRANSPORTATION/Division of Motor Vehicles - The rewritten rule submitted by the agency was approved 
by the Commission. 

21 NCAC 12 .0202, .0209, .0402, .0405, .0410, and .0907: N C Licensing Board for General Contractors - The rewritten rules 
submitted by the agency were approved by the Commission. 

2 1 NCAC 21 .050 1 and .1101: N C Board for Licensing of Geologists - The rewritten rules submitted by the agency were approved 
by the Commission. 

2 1 NCAC 37D .0403 : N C State Board of Nursing Home Administrators - The rewritten rule submitted by the agency was approved 
by the Commission. 

21 NCAC 50 .0304, .0402, and .1 101 : N C State Board of Examiners of Plumbing, Heating, and Fire Sprinkler Contractors - The 
rewritten rules submitted by the agency were approved by the Commission. 

21 NCAC 68 .0507: N C Substance Abuse Professional Certification Board - The rewritten rule submitted by the agency was 
approved by the Commission. 

LOG OF FILINGS 

Chairman Smallwood presided over the review of the log and all rules were approved with the following exceptions: 

2 NCAC 34 .0330: AGRICULTURE/Structural Pest Control Committee - The Commission objected to the original rule due to lack 
of statutory authority and approved the rewritten rule submitted by the agency. 

10 NCAC 20B .0204: DHHS/Vocational Rehabilitation Services - The Commission objected to this rule due to ambiguity and 
approved the rewritten rule to be submitted by the agency, contingent upon receipt of the rewritten rule today. It was received. 

10 NCAC 20B .0207: DHHSA'ocational Rehabilitation Services - The Commission objected to this rule due to ambiguity and 
approved the rewritten rule submitted by the agency. 

10 NCAC 42B .1201: DHHS/Medical Care Commission - The Commission objected to the original rule due to lack of statutory 
authority and approved the rewritten rule submitted by the agency. 



14:22 NORTH CAROLINA REGISTER May 15,2000 2008 



RULES REVIEW COMMISSION 



10 NCAC 42B .1213: DHHS/Medical Care Commission - The Commission objected to the original rule due to lack of statutory 
authority and ambiguity and approved the rewritten rule submitted by the agency. 

10 NCAC 42C .2013: DHHS/Medical Care Commission - The Commission objected to the original rule due to lack of statutory i 
authority and approved the rewritten rule submitted by the agency. ' 

10 NCAC 42C .2014: DHHS/Medical Care Commission - The Commission objected to the original rule due to lack of statutory 
authority and approved the rewritten rule submitted by the agency. 

10 NCAC 42C .2506: DHHS/Medical Care Commission - The Commission objected to the original rule due to ambiguity and to the 
rewritten rule due to lack of statutory authority. The Commission determined that the provision in (a)(7) allowing a patient to be 
discharged for failure to meet other contractual obligations is outside the authority of the Medical Care Commission. That is, the rule 
violates G.S. 131D-21(I7) restricting the ability of the facility to transfer or discharge patients. 

10 NCAC 42C .3901 : DHHS/Medical Care Commission - The Commission objected to the original rule due to lack of statutory 
authority and approved the rewritten rule submitted by the agency. 

10 NCAC 42D .1414: DHHS/Medical Care Commission - The Commission objected to the original rule due to lack of statutory 
authority and ambiguity and approved the rewritten rule submitted by the agency. 

1 7 NCAC 9K .020 1 : DEPARTMENT OF REVENUE - This rule was withdrawn by the agency. 

18 NCAC 10 rules - SECRETARY OF STATE - These rules were withdrawn by the agency. 

19A NCAC 3D .0801 : TRANSPORTATION/Division of Motor Vehicles - The Commission objected to this rule due to lack of 
statutory authority and ambiguity. In (b)(2), it is not clear what standards the Exemption Review Officer will use in approving 
operators. There is no authority cited for the Commissioner of Motor Vehicles to tell a person when and where the person can sue 
DMV as this rule does in (i). This objection applies to existing language in the rule. 

21 NCAC 33 .01 06: MIDWIFERY JOENT COMMITTEE - This rule was moved to next month's log at the request of the agency. I 

21 NCAC 56 .0503: N C Board of Examiners of Engineers and Surveyors - The Commission objected to this rule due to lack of 
statutory authority. There is no authority for the provision in (i) that an applicant for re-examination must demonstrate to the Board 
that actions have been taken to improve the chances for passing the exam. This objection applies to existing language in the rule. 

21 NCAC 56 .0603: N C Board of Examiners of Engineers and Surveyors - The Commission objected to this rule due to lack of 
statutory authority. TTiere is no authority for the provision in (h) that an applicant for re-examination must demonstrate to the Board 
that actions have been taken to improve the chances for passing the exam. This objection applies to existing language in the rule. 

21 NCAC 56 .0804: N C Board of Examiners of Engineers and Surveyors - The Commission objected to this rule due to lack of 
statutory authority. Paragraph (b) of this rule is not consistent with G.S. 89C-17 which states that all certificates of licensure expire 
on the last day of December. This objection applies to existing language in the rule. 

21 NCAC 56 .0901: N C Board of Examiners of Engineers and Surveyors - The Commission objected to this rule due to lack of 
statutory authority. There is no authority for this rule, specifically the first two sentences in paragraph (c). While the Board may 
license corporations and business firms, and the engineering and land surveying work done by the firm must be done under the 
responsible charge of individual registrants, there is no authority for the requirement that a specific individual licensee spend a 
majority of his normal working time in that place of business. This objection applies to existing language in the rule. 

21 NCAC 63 .0101: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to lack of 
statutory authority and necessity. Not only does this rule not set out any requirements and is thus unnecessary, it is also the 
responsibility of the General Assembly, not the agency, to determine what the purpose of an Act is. This objection applies to existing 
language in the rule. 

21 NCAC 63 .0104: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to ambiguity 
and lack of necessity. TTiis purported rule only affects the internal management of the agency and does not directly affect the public, m 
It therefore does not meet the APA definition of "rule" and as such is not necessary to be included in the Administrative Code. It also 
is not clear in that it is not clear when a term will end. This objection applies to existing language in the rule. 

2009 NORTH CAROLINA REGISTER May 15, 2000 14:22 



R VLES RE VIE W COMMISSION 



21 NCAC 63 .0105: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to lack of 
necessity. The only part of this rule that is arguably necessary is the number of meetings the Board is to hold each year. The rest either 
repeats matters already in the law or in fact have no meaning (e.g. Members are expected to attend all meetings.). This objection 
applies to existing language in the rule. 

21 NCAC 63 .0204: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to lack of 
statutory authority. There is no authority cited for the Board to require references from all applicants. If an applicant meets the 
statutory requirements, he must be issued a certificate or license. This objection applies to existing language in the rule. 

21 NCAC 63 .0210: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to lack of 
statutory authority. There is no authority for the 30 day time period in (g). If an applicant meets the requirements in G.S. 90B-7(d) 
for licensure, he must be licensed, regardless of when he applied. 

21 NCAC 63 .0301 : N C Social Work Certification and Licensing Board - The Commission objected to this rule due to ambiguity. 
It is not clear what is meant by "reasonable geographic area." 

21 NCAC 63 .0401 : N C Social Work Certification and Licensing Board - The Commission objected to this rule due to ambiguity. 
In (a)(4), it is not clear what standards the Board will use in pre-approving self-directed learning projects for continuing education 
credit. This objection applies to existing language in the rule. 

21 NCAC 63 .0503: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to lack of 
necessity. As written, paragraph (c) probably goes beyond any legislative intent. This paragraph does much more than prohibit any 
illegal discrimination. As written, it would require a social worker to protest a religious organization with which he worked from 
favoring its members. There are any number of other examples that could be raised. It is one thing to prohibit the practice, it is 
entirely another to prohibit condoning someone else doing something perfectly legal. This objection applies to existing language in 
the rule. 

21 NCAC 63 .0504, .0506, and .0507: N C Social Work Certification and Licensing Board - These rules were returned to the agency 
for failure to comply with Part 2 of Article 2A of the Administrative Procedure Act. No notice of text was published for Rules .0504 
and .0506. Rule .0507 contains a substantive change from what was published, but was not republished. 

21 NCAC 63 .0508: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to ambiguity. 
It is not clear from whom an investigator is to seek advice. In (1 ), it is not clear what is meant by "appropriate authority" and "proper 
credit." This objection applies to existing language in the rule. 

21 NCAC 63 .0601 : N C Social Work Certification and Licensing Board - The Commission objected to this rule due to ambiguity. 
Item (4) is too ambiguous to let a licensee or certificate holder know what is grounds for disciplinary action. This objection applies 
to existing language in the rule. 

21 NCAC 63 .0702: N C Social Work Certification and Licensing Board - The Commission objected to this rule due to lack of 
statutory authority. In (c)(1), the provision allowing the presiding officer to prescribe a greater time limit for oral presentations is a 
waiver provision without specific guidelines in violation of G.S. 1 SOB- 1 9(6). This objection applies to existing language in the rule. 
Commissioner Futch voted no to the motion on all of the 21 NCAC 63 rules. 

21 NCAC 68 .0203: N C Substance Abuse Professional Certification Board - The Commission objected to the original rule due to 
lack of statutory authority and approved the rewritten rule submitted by the agency. 

21 NCAC 68 .0213: N C Substance Abuse Professional Certification Board - The Commission objected to the original rule due to 
ambiguity and approved the rewritten rule submitted by the agency. 

COMMISSION PROCEDURES AND OTHER BUSINESS 

The next meeting will be on Thursday, May 1 8, 2000. 

The meeting adjourned at 1 :45 p.m. 

Respectfully submitted, 
Sandy Webster 



14:22 NORTH CAROLINA REGISTER May 15, 2000 2010 



CONTESTED CASE DECISIONS 



1 his Section contains the full text of some of the more significant Administrative Law Judge decisions along with an index 
to all recent contested cases decisions which arefded under North Carolina 's Administrative Procedure Act. Copies of the 
decisions listed in the index and not published are available upon request for a minimal charge by contacting the Office of 
Administrative Hearings, (919) 733-2698. Also, the Contested Case Decisions are available on the Internet at the following 
address: http://www.state.nc.us/OAH/hearings/decision/caseindex.htm. 



OFFICE OF ADMINISTRATIVE HEARINGS 

Chief Administrative Law Judge 

JULIAN MANN, III 

Senior Administrative Law Judge 
FRED G. MORRISON JR. 

ADMimSTRA TIVE LAW JUDGES 



Sammie Chess Jr. 
Beecher R. Gray 
Melissa Owens Lassiter 



James L. Conner, II 

Robert Roosevelt Reilly Jr. 
Beryl E. Wade 



AGENCY 

ADMLMSTRATION 

Brinhaven, Inc. v. Department of Administration 

and 
Priva-Trends, Inc. 
Laidlaw Transit Svcs, Inc. v. Katie G. Dorsett, Sec'y/Dept/ Administration 99 DOA 0102 

OFFICE OF ADMEVISTRAXrVE HEARINGS 

Ted Murrell, Zam, Inc. v. Office of Administrative Hearings 
Samuel Lee Ferguson v. Office of Administrative Hearings 
Robert McHenry v. Office of Administrative Hearings 
Larry McLeod v. NC Crime Victims Compensation Commission 

AGRICULTURE 

Archie McLean v. Department of Agriculture 

ALCOHOLIC BEVERAGE CONTROL COMMISSION 

Alcoholic Beverage Control Commission v. Keyland, Inc., T/A Cloud 9 
Alcoholic Beverage Control Commission v. Food Lion, Inc., Store #1351 
Alcoholic Beverage Control Commission v. Stop I, Inc, T/A Stop 1 Grocery 
Alcoholic Beverage Control Commission v. George Steven Everett 

t/a Casino Snooks Place 
Vickie A. Patrick and Ayed K. Al-Quzah T/A M&M #4 v. Alcoholic 
Alcoholic Beverage Control Commission v. Beech Mountain Resort, Inc. 
Alcoholic Bev. Control Comm.v. Partnership T/A Mermaid Rest. & Lge. 
Alcoholic Beverage Control Commission v. Jaeson Nyung Kim 
Alcoholic Beverage Control Commission v. Lillian Sarah Clary 
Alcoholic Beverage Control Commission v. Circle K Stores, Inc., T/A 

Circle K #8620 
Alcoholic Beverage Control Commission v. Circle K Stores, Inc., T/A 

Circle K #8357 
Alcoholic Beverage Control Commission v. Vnus Enterprices, LLC, 

t/a Rendez Vous Club & City of Charlotte 
Alcoholic Beverage Control Commission v. Mohammad Salim Pirani 
Alcoholic Beverage Control Commission v. Creek Lounge, Inc. t/a 

Creek Lounge 
Delores Ann Holley v. Alcoholic Beverage Control Commission 
Alcoholic Beverage Control Commission v. Partnership T/A 

Corrothers Community Center/Private Club 
Verdict Ridge Country Club, by H. Edward Knox v. Alcoholic 

Beverage Control Commission 



CASE 




NUMBER 


ALJ 


98 DOA 0811 


Chess 


99 DOA 0102 


Morrison 


99 OAH 0665 


Chess 


99OAH0718 


Chess 


99 OAH 1201 


Gray 


00 OAH 0039 


Gray 


98 DAG 1770 


Reilly 


98 ABC 1099 


Overby 


98 ABC 1270 


Gray 


98 ABC 1337 


Phipps 


98 ABC 1546 


Reilly 


99 ABC 0070 


Wade 


99 ABC 0287 


Reilly 


99 ABC 0367 


Chess 


99 ABC 0407 


Morrison 


99 ABC 0615 


Phipps 


99 ABC 0651 


Chess 


99 ABC 0656 


Gray 


99 ABC 0684 


Morgan 


99 ABC 0780 


Morrison 


99 ABC 0820 


Morgan 


99 ABC 0876 


Gray 


99 ABC 0986 


Lassiter 


99 ABC 1637 


Morrison 



DATE OF 
DECISION 



06/10/99 



06/11/99 



07/14/99 
07/16/99 
04/07/00 
04/12/00 



07/12/99 



01/17/99 
03/31/99 
09/29/99 
10/19/99 

03/22/00 
08/11/99 
09/17/99 
07/09/99 
09/01/99 
12/30/99 

1 1/29/99 

10/15/99 

09/21/99 
10/13/99 

08/10/99 
1 1/03/99 

01/07/00 



PUBLISHED DECISION 
REGISTER CITATION 



14:02 NCR 115 



i 



14:04 NCR 349 



14:04 NCR 347 



14:16 NCR 1489 



♦ 



2011 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



CONTESTED CASE DECISIONS 



AGENCY 

AUCTIONEER LICENSING BOARD 

Larry C. Oiler v. North Carolina Auctioneer Licensing Board 
George W. Phillips, 11 v N.C. Auctioneer Licensing Board 

BOARD OF MORTUARY SCIENCE 

N.C. Board of Mortuary Science v. Kennedy Funeral Home 

CRIME CONTROL AND PUBLIC SAFETY 

Ray Anthony Breeding v. Crime Control & Public Safety 
John Ray Webb v. Crime Victims Compensation Commission 
Sarene Franklin Holloway v. Crime Victims Compensation Comm. 
Vemel Capel Harris v. Crime Victims Compensation Commission 
Paul Richard Mull v. Crime Victims Compensation Commission 
Coradene Mayhand v. Crime Victims Compensation Commission 
Edna Carr v. Crime Victims Compensation Commission 
Eric Charles Williams v. Crime Control & Public Safety, Div. of 

State Highway Patrol 
Bobby Mills v. Crime Victims Compensation Commission 
William Samuel McCraw v. Crime Victims Compensation Commission 
Anson D. Looney v. Crime Victims Compensation Commission 
Elvin Williams, Jr. v. Crime Victims Compensation Commission 
Michael Anthony Powell v. Crime Victims Compensation Commission 
Mary Elizabeth Peoples Hogan v. Crime Victims Compensation Comm. 
Louise Dowd v. Crime Victims Compensation Commission 
Lemuel Ray Jenkins v. Crime Victims Compensation Commission 
Annabell B. McCormick v. Crime Victims Compensation Commission 
Christopher Beasley v. Crime Victims Compensation Commission 
Johnola E. McAllister v. NC Victim and Justice Services 
Quantisha Pratt v. NC Crime Victims Compensation Commission 
Nancy Davis Cave v. N.C. Victim and Justice Services 
Loretta Faye Green v. N.C. Crime Victims Compensation Commission 
Oscar Reynolds v N.C. Crime Victims Compensation Commission 
James E. Taylor v N.C. Crime Victims Compensation Commission 

ENVIRONMENT AND NATURAL RESOURCES 

Richard D. Poling, Parent of Taylor B. Poling, A Minor v. NC Dept. 

of Environment, Health & Natural Resoiu'ces 
The Appletree Companies, Inc., Successor to Stewart Products, Inc. 

and Utts Services, Ltd. v. Dept. of Environment & Natural Resources 
Ronald Lee Hudson, Jr. v. Craven Health Department 
R.J. Reynolds Tobacco Co. v. Dept. of Enviroimient & Natural Resources 
Joseph T. London, Classic Car Restoration v. Dept. of Environment & 

Natural Resources 
T. FameU Shingleton v. Enviroimient and Natural Resources 
T. Famell Shingleton v. Enviroimient and Natural Resources 
Town of Maysville v. Environment and Natural Resources 
Willie Setzer v. Department of Environment & Nattu-al Resources 
Charles H. Jordan v. Brunswick County Health Department 
Jerry Franks and John Schifano, et. al. v. Environment &, Natural Resources 

and Wake County Board of Commissioners 
McDowell Development, Allen Gurley - VP (LQS 98-087) v Environment 

and Natural Resources 
Jerry Franks and John Schifano, et. al. v. Environment & Natural Resources 

and Wake County Board of Commissioners 
James P. and Irene P. Wilson v. Cleveland Co. Health & Sanitary 
Deep River Citizens' Coalition, American Canoe Assoc, Inc., and Deep 

River Coalition, Inc. v. Department of Env. & Natural Resources 
Steve and Susan Griffin v. Dept. of Environment & Natural Resources 
Deep River Citizens' Coalition, American Canoe Assoc, Inc., and Deep 

River Coalition, Inc. v. City of Greensboro, Piedmont Triad Regional 
Water Authority 
Mazzella's Restaurant, Peter D. Mazzella v. Carteret County Env. Health 
Roadway Express v. Department of Environment and Natural Resources 
John W. Venable v. Department of Environment and Natural Resources 
Shell Island Homeowners' Association v. DENR, Div. of Env. Health 
Gail S. Barfield v. Department of Environment and Natural Resources 
Richard E. Day v. Division of Coastal Management 
Wallace J. Burt, Jr. & Highlands/Cashiers Conservation League v. 

DENR, Div. of Water Qualtiy & Highlands Cove, L.L.C. 
Whiteside Estates, Inc., John David Young v. DENR, Div. of Water 

Quality & Highlands Cover, L.L.C. 
Ronald L. Walker, Sr., v. Environmental Health Ala County 
Marvin Seals, III v. DENR, Div. of Water Quality & Highlands 

Cove, L.L.C. 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


AU 


DECISION 


REGISTER CITATION 


99CFA1011 


Mann 


01/27/00 




99CFA1336 


Lassiter 


02/15/00 




99 BMS 0894 


Chess 


01/20/00 




93 CPS 0695 


Gray 


09/13/99 




95CPS 1353 


Gray 


09/13/99 




97 CPS 1172 


Chess 


10/12/99 




98 CPS 0328 


Chess 


01/31/00 




98 CPS 0342 


Chess 


07/26/99 




98 CPS 0398 


Chess 


10/09/99 




98 CPS 0788 


Chess 


10/28/99 




98 CPS 1279 


Chess 


11/01/99 




98 CPS 1412 


Wade 


08/06/99 




98 CPS 1626 


Morrison 


06/09/99 




99 CPS 0096 


Morrison 


05/25/99 




99 CPS 01 18 


Owens 


08/03/99 




99 CPS 0426 


Reilly 


08/03/99 




99 CPS 0504 


Reilly 


07/29/99 




99 CPS 0519 


Morrison 


12/07/99 




99 CPS 0521 


Gray 


09/08/99 




99 CPS 0564 


Phipps 


08/04/99 




99 CPS 0843 


Chess 


11/23/99 




99 CPS 1060 


Gray 


12/29/99 




99 CPS 1093 


Mann 


03/03/00 




99 CPS 1154 


Mann 


01/20/00 




99 CPS 1421 


Chess 


03/23/00 




99 CPS 1453 


Maim 


02/23/00 




99 CPS 1473 


Lassiter 


02/07/00 




97 EHR 0277 


Mann 


02/25/00 




97 EHR 0795 


Lassiter 


11/19/99 




97 EHR 1166 


Mann 


03/01/00 




98 EHR 1315 


Wade 


06/04/99 


14:02 NCR 110 


98 EHR 1579 


Mann 


03/16/00 




98 EHR 1600 


Reilly 


10/08/99 


14:11 NCR 926 


98 EHR 1601 


Reilly 


10/08/99 




99 EHR 0069 


Owens 


09/27/99 




99 EHR 0166 


Chess 


06/28/99 




99 EHR 0201 


Morrison 


06/28/99 




99 EHR 0344" 


Phipps 


09/28/99 




99 EHR 0358 


Mann 


01/24/00 


14:18 NCR 1656 


99 EHR 0380" 


Phipps 


09/28/99 




99 EHR 0506 


Lassiter 


10/07/99 




99 EHR 0560" 


Reilly 


03/13/00 




99 EHR 0595 


Gray 


03/16/00 




99 EHR 0613" 


Reilly 


03/13/00 




99 EHR 0692 


Reilly 


08/19/99 




99 EHR 0745 


Morrison 


07/27/99 




99 EHR 0773 


Wade 


10/13/99 




99 EHR 0814 


Owens 


08/18/99 




99 EHR 0840 


Morrison 


11/19/99 




99 EHR 0921 


Wade 


1 1/02/99 




99 EHR 0980 


Gray 


04/05/00 




99 EHR 0989 


Gray 


04/05/00 




99 EHR 1076 


Morrison 


10/18/99 




99 EHR 1084 


Gray 


04/05/00 





14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2012 



CONTESTED CASE DECISIONS 



AGENCY 

Clifford Myers v. Montgomery County Health Department 
Deloris B. Wooten v. Pitt County Dept. of Environmental Health 
Marissa D. McCain v. Department of Environment and Natural Resources 
Town of Wallace v. Department of Envirorunent and Natural Resources 
William Todd Allison v Department of Environment and Natural 

Resources, Division of Coastal Management 
Bethany Baptist Church, Ray Richardson v. Div. of Environmental 

Health, Department of Public Health 
Sweetie Bullock v. Pitt County Health Department 

Division of Air Quality 

Neighbors Against The Cullasaja Asphalt Plant & Blue Ridge Env. 
Defense League, Inc. v. Dept of Env & Natural Resources and Rhodes 
Brothers Paving, Inc. and Carolina Asphalt Pavement Association 

Neighbors Agamst The Cullasaja Asphalt Plant & Blue Ridge Env. 
Defense League, Inc. v. Dept of Env & Natural Resources and Rhodes 
Brothers Paving, Inc. and Carolina Asphalt Pavement Association 

Terrance W. Bache, Pres., Terhane Group, Inc. v. DENR, Div/ Air Quality 

Foothills Action Comm. For The Environment and The Blue Ridge 
Environmental Defense League, Inc. v. DENR, Div. of Air Quality & 
D&S Asphalt Materials and Carolina Asphalt Pavement Assoc. 

XVIII Airborne Corps & Fort Bragg, Dept. of the Army, USA v. 
Environment and Natural Resoiu-ces, Div. of Air Quality 

J.D. Owen v. Environment and Natural Resources, Div. of Air Quality 

Carolina Land Clearing Corp. /Ron Olson v. DENR, Division of 
Air Quality 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


AU 


DECISION 


REGISTER CITATION 


99EHR 1106 


Mann 


1 1/03/99 




99EHR 1131 


Wade 


11/19/99 




99EHR1245 


Lassiter 


01/04/00 




99EHR 1194 


Chess 


12/06/99 




99EHR 1612 


Chess 


01/10/00 




00 EHR 0020 


Chess 


03/28/00 




00 EHR 0028 


Mann 


03/16/00 




98 EHR 1735 


Gray 


09/30/99 


14:10 NCR 900 


98 EHR 1735 '■ 


Gray 


12/06/99 




98 EHR 1790 


Mann 


06/23/99 




99 EHR 0157'= 


Gray 


12/06/99 




99 EHR 0283 


Wade 


08/11/99 




99 EHR 0642 


Mann 


08/10/99 




99 EHR 1105 


Chess 


02/22/00 





Environmental Management 

Allen Raynor v. Environmental Management Commission 

Division of Land Resources 

Buel B. Barker, Jr. and Hubbard Realty of Winston-Salem, a NC Corp., 

jointly and severally v. DENR, Div. of Land Resources 
T.B. Powell, Inc. v. DENR, Division of Land Resources 
David B. McMillan v. DENR, Division of Land Resoiu'ces 
Ronald G. Smith v. DENR, Division of Land Resources 

Division of Marine Fisheries 

Alton Chadwick v. Division of Marine Fisheries 

Division of Water Quality 

York Oil Company v. DENR. Division of Water Quality 
J. Todd Yates and Teresa B. Yates v. DENR, Div. of Water Quality 
N.G. Ptuvis Farms, Inc. v. DENR, Division of Water Quality 
Dallas Harris Real Estate Construction, Inc., v Dept. of Environment 

and Natural Resources, Division of Water Quality 
Anson County Citizens Against Chemical Toxins in Underground Storage. 

Blue Ridge Envirormnental Defense League, Inc., Julia Cadle, T.C. 

Wright, Mae Wright, Claretha Maske, Vernon Maske, Mark Maske, 

Emma Smith and Bobby Smith v. DENR, Div. of Water Quality and 

Chambers Development of North Carolina 



99 EHR 0127 


Gray 


07/27/99 




98 EHR 1457 


Morrison 


06/09/99 




99 EHR 0632 


Wade 


10/04/99 




99 EHR 0717 


ReiUy 


03/02/00 




99 EHR 0799 


Morrison 


10/29/99 




99 EHR 0553 


Reilly 


08/19/99 




97 EHR 1026 


Phipps 


07/26/99 


14:04 NCR 343 


98 EHR 1456 


Wade 


06/22/99 




99 EHR 0696 


Chess 


08/27/99 




99 EHR 0770 


Lassiter 


01/31/00 


14:17 NCR 1586 


99 EHR 1469 


Chess 


02/16/00 





Soil and Water Conservation Commission 

Neuse River Foundation, Neuse Riverkeeper, and Alliance For A 
Responsible Swine Industry, Inc. v. NC Soil & Water 
Conservation Commission 



99 EHR 1660 



Morrison 



12/10/99 



14:14 NCR 1334 



BOARD OF GEOLOGISTS 

Andrew M. Raring, Ph.D v. Board for the Licensing of Geologists 

HEALTH AND HUMAN SERVICES 

Eardley "JR" Stephens v. St. Bd. of Nurse's Aides and Practitioners 

Ernest Clyde Absher and Dianna B. Absher v. Health & Human Resources 

Vickie Jean Epps v Department of Health & Human Services 

Andrew Gainey v. Office of the Chief Medical Examiner 

J. P. Lynch v. Department of Health & Himian Services 

Paul Walker, Thomas Walker & Mary Walker v. Mecklenburg Area 

Mental Health 
New Hope Living Centers, Eric D. Lewis v. Health & Himian Services 
Frank McKoy v. Department of Health & Human Services 
Joan Marie McDaniel v. Department of Health & Human Services 
Lonnie Herring v. Department of Health & Himian Services 
Robert H. Riley v. Office of the Governor, Office of Citizen Services 
Jeff & Kellie Pope v. Department of Health & Human Services 



99 BOG 01 50 


Mann 


06/16/99 




98DHR0155 


Phipps 


08/25/99 




98DHR 1622 


ReiUy 


06/17/99 




98DHR 1725 


Gray 


02/03/00 




98DHR 1761 


Owens 


05/12/99 


14:01 NCR 69 


99DHR0111 


ReiUy 


05/25/99 




99DHR0155 


Morrison 


08/19/99 




99DHR0170 


Owens 


05/25/99 




99 DHR 0226 


Wade 


07/06/99 




99 DHR 0305 


Reilly 


08/05/99 




99 DHR 0350 


Reilly 


06/03/99 




99 DHR 0356 


Wade 


07/21/99 




99 DHR 0744 


Chess 


03/22/00 





i 



2013 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



CONTESTED CASE DECISIONS 



AGENCY 

Paula Watts v. Department of Health & Human Services 
Betty C. Patterson v. Department of Health & Human Services 
Rayner Super Mkt., J.K. Rayner, Jr. v. Department of Health and 

Human Services 
Monica Denise Dayson v. Department of Health & Human Services 
Andrea Lightfood v. Department of Health & Hiunan Services 
Melinda Faye Ikard v. CNC Services, A Human Service Agency 
Cynthia A. Murray v. Department of Health & Human Services 
Delisa Scott v. Health & Human Resources Services 
Jerry Sales v. Department of Health & Human Services 

Division of Child Development 

Shaw Speaks Child Dev. Ctr. v. Health & Human Svcs., Child Dev. 
Lachelle L. Parsons v. Health & Human Svcs, Div. of Child Dev. 
In The Beginning, Inc. v. Health & Human Svcs., Div. of Child Dev. 
Barringer Center for Child Development, Elon Home for Children, 

Inc., Rev. Dr. Frederick G. Grosse v. Health & Human Services, 

Div. of Child Development 
Dulatown Outreach Center, Inc. v. Health & Human Svcs., Child Dev. 
Michele Denoff v. Health & Human Services, Div. of Child Dev. 
MLCM, Inc., Mary C. McGovem v. DHHS, Div. of Child Dev. 
Small World Daycare n, Trena S. McDaniel v. Health & Human Svcs., 

Div. of Child Dev. 
Susan Voncannon, Voncannon Daycare Home v. DHHS, Division of 

Child Development 
Evelyn Stegall v. Department of Health & Human Services 
H. Michael Poole, v. Clients Assistance Program 

Division of Facility Services 

Kelly M. Poole v. Health & Human Services, Div. of Facility Services 
Norma Faye Lewis v. Health & Human Svcs., Div. of Facility Services 
Delia C. Jones v. Health & Human Services, Div. of Facility Services 
Heather Alane Scott v. Health & Human Svcs. Div of Facility Services 
Effie Ruth Smith v. Health & Human Svcs., Div. of Facility Services 
Vivienne Geloria Marshall v. DHHS, Div. of Facility Services 
Sarah L. Mathis v. DHHS, Div. of Facility Services 
Doris Laviner Moser v. Health & Human Services, Div. of Facility Svcs. 
Norma Faye Lewis v. Health & Human Svcs., Div. of Facility Services 
Carolyn Grant v. Health & Human Services, Div. of Facility Services 
Marion Moser Thompson v. Health & Htmian Svcs., Facility Services 
Rose Marie Hadley v. Health & Human Svcs., Div. of Facility Services 
Sarah Frances Alford v. Health & Human Svcs., Div. of Facility Svcs. 
Alvin L. Phynon Jr. v. Health & Hiunan Svcs., Dept. of Facility 
Cabarrus Memorial Hospital d/b/a Northeast Medical Center 

v. DHHS, Div. of Facility Services, Certificate of Need Section & 

Cabarrus Diagnostic Imaging, Inc. 
Cabarrus Diagnostic Imaging, Inc. v. DHHS, Div. of Facility Services, 

Certificate of Need Section & Cabarrus Memorial Hospital, d/b/a 

Northeast Medical Center 
Barbara Rhue v. D.F.S. 
Barbara Rhue v. D.F.S. 

Michelle Johnson v. DHHS, Division of Facility Services 
Donna L. Holland v. DHHS, Division of Facility Services 
Esther Nieves v. Health & Human Services, Div. of Facility Services 
Shirley Ann Beck v. Division of Facility Services 
Scott Cole V. DHHS, Division of Facility Services 
Linda Gaile Funke v. Health & Human Svcs., Div. of Facility Services 
Pamela Susan Moore v. DHHS, Division of Facility Services 
Mary Grace Arrowood v. DHHS, Division of Facility Services 
Pinewood Forest Assisted Living v. NC Div. of Facility Services 
Rose Vista Village Assisted Living v. NC Div. of Facility Services 
Rose Terrace Assisted Living v. DHHS, Div. of Facility Services 

Division of Medical Assistance 

Interim HealthCare - Morris Group, Inc., Lisa B. Moms, RN, BSN v. 

DHHS, Division of Medical Assistance 
Companion Health Care, Inc. v. Div. of Medical Assistance, DHR 
Family Pharmacy v. DHHS, Division of Medical Assistance 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


ALJ 


DECISION 


REGISTER CITATION 


99 DHR 0912 


Reilly 


03/07/00 




99 DHR 0954 


Reilly 


1 1/05/99 




99 DHR 0961 


Morrison 


11/15/99 




99 DHR 1041 


Reilly 


09/29/99 




99 DHR 1094 


Wade 


02/09/00 




99 DHR 1307 


Chess 


03/06/00 




99 DHR 1335 


Mann 


01/31/00 




99 DHR 1507 


Lassiter 


03/13/00 




00 DHR 0166 


Reilly 


04/19/00 




99 DHR 0042 


Gray 


07/22/99 




99 DHR 0445 


Reilly 


07/19/99 




99 DHR 0575 


Maim 


07/19/99 




99 DHR 0621 


Gray 


12/15/99 




99 DHR 0688 


Owens 


07/21/99 




99 DHR 0695 


Owens 


08/05/99 




99 DHR 1032 


Wade 


11/19/99 




99 DHR 1038 


Lassiter 


10/06/99 




99 DHR 1636 


Lassiter 


04/10/00 




00 DHR 0003 


Reilly 


04/07/00 




00 DHR 0093 


Chess 


03/27/00 




97 DHR 0629 


Chess 


06/14/99 




98 DHR 1274'' 


Phipps 


07/02/99 




98 DHR 1680 


Gray 


06/09/99 




98 DHR 1671 


Gray 


10/08/99 




98 DHR 1774 


Chess 


07/14/99 




98 DHR 1786 


Phipps 


09/02/99 




99 DHR 0032 


Morrison 


09/24/99 




99 DHR 0074 


Wade 


08/06/99 




99 DHR 0144*' 


Phipps 


07/02/99 




99 DHR 0145 


Mann 


06/11/99 




99 DHR 0216 


Gray 


08/13/99 




99 DHR 0218 


Wade 


08/06/99 




99 DHR 0220 


Phipps 


06/08/99 




99 DHR 0230 


Mann 


07/07/99 




99 DHR 0392 


Gray 


11/18/99 




99 DHR 0396 


Gray 


12/20/99 




99 DHR 0401*' 


Wade 


07/30/99 




99 DHR 0414*' 


Wade 


07/30/99 




99 DHR 0546 


Gray 


10/12/99 




99 DHR 0712 


Wade 


03/09/00 




99 DHR 0766 


Phipps 


07/21/99 




99 DHR 0942 


Mann 


09/24/99 




99 DHR 1118 


Mann 


03/07/00 




99 DHR 1416 


Mann 


03/21/00 




99 DHR 1756 


Reilly 


04/07/00 




00 DHR 0061 


Lassiter 


03/10/00 




00 DHR 0144 


Chess 


04/11/00 




00 DHR 0145 


Chess 


04/11/00 




00 DHR 0146 


Chess 


04/06/00 




99 DHR 0552 


Mann 


09/01/99 




99 DHR 0762 


Owens 


07/29/99 




00 DHR 0032 


Gray 


04/19/00 





Division of Mental Health, Developmental Disabilities and Substance Abuse Services 



Consolidated Cases. 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2014 



CONTESTED CASE DECISIONS 



AGENCY 

S.S. by her parents and next friends, D.S. & A.S. v. DMH/DD/SAS 
Theresa Mabry in behalf of Aaron Mabry, a minor child v. DHHS, 
Div. of MH/DD/SAS, Willie M. Section 

Division of Vocational Rehabilitation 

Dr. H. Michael Poole v. DHHS, Div of Vocational Rehabilitation 

Division of Social Services 

Robert H. Riley v. Iredell County DSS 

Robert H. Riley v. Health & Human Svcs., Div. of Social Services 

Joanna Price v. Caldwell County Social Services 

April De'Shelle Turner v. DHHS, Div. of Social Service, 

Program Integrity Branch 
Betty S. Lewis v. DHHS, Div. of Social Services, Program Integrity 

Branch 

Veronica Owens v. Dept. of Social Services Union County 

Child Support Enforcement Section 
Grady J. Griffith v. Department of Human Resources 
Lindy Teachout v. Department of Health & Human Services 
Thomas Ashley Stewart II v. Department of Health & Human Services 
Tumu R. Johnson I v. Department of Human Resources 
Teresa L. Galloway v. Department of Hiraian Resources 
Jime V. Pettus v. Department of Human Resources 
Floyd W. Hubbard v. Department of Human Resources 
Richard Arnold Collins v. Jones County DSS 
David S. Blackwelder v. Department of Human Resources 
June V. Pettus v. Department of Human Resoiu'ces 
Walter M. Chlastawa v. Department of Human Resources 
Grady J. Griffith v. Department of Human Resources 
John T. Raynor v. Department of Human Resources 
Kenneth Wayne Adair v. Department of Human Resources 
Randy Snead v. Department of Human Resources 
Shawn E. Williams v. Department of Human Resources 
Huri G. Stokes v. Department of Health & Himian Services 
Ronald E. Sanders v. Department of Human Resources 
Willie D. Davis v. Department of Human Resources 
G.S. Hall V. Department of Health & Human Services 
Charles Stewart v. Department of Human Resources 
Sidney T. Duim v. Department of Human Resources 
Kenneth A. McCrorie v. Department of Human Resources 
Daniel R. KJock v. Department of Human Resources 
Bert Alexander Crocker v. Department of Health & Human Services 
David M. VanDyke v. Department of Human Resources 
Jerome Maddox v. Department of Health & Human Services 
Samuel L. Gordon v. Department of Health & Human Services 
Sam Anderson v. Department of Human Resources 
Donald Edward Law II v. Department of Human Resoiu"ces 
Sechia Lee Corbett v. Department of Human Resources 
Robert T. Ausband v. Department of Human Resources 
Shawn E. Williams v. Department of Human Resources 
Derrick Dobbins v. Department of Health & Human Services 
Antonio Melendez v. Department of Health & Human Services 
William W. Heck v. Department of Human Resoiu-ces 
Michael A. Lide v. Department of Human Resources 
Matthew S. Conklm v. Department of Health & Human Services 
Rickey Lightnerv. Department of Human Resoiu'ces 
Matthew S. Conklin v. Department of Health & Human Services 
Robert M. Chandler Jr. v. Department of Health & Himian Services 
Jermaine L. Covington v. Department of Health & Human Services 
Mitchell Moses, Jr. v. Department of Health & Himian Services 
James Bear v. Department of Health & Himian Services 
Grady L. Chosewood v. Department of Health & Human Services 
Fulton Allen Tilhnan v. Department of Health & Human Services 
Nathaniel Alston v. Department of Health & Human Services 
Bret Burtrum v. Department of Health & Human Services 
Cedric A. Hurst v. Department of Human Resources 
Dane Wesley Ware v. Department of Health & Human Services 
Paul H. Padrick v. Department of Health & Human Services 
Oscar William Willoughby Sr. v. Dept. of Health & Human Services 
Kelvin E. Townsend v. Department of Health & Human Services 
Billy J. Young v. Department of Health & Human Services 
Rodney Eugene Caldwell v. Department of Health & Human Services 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


ALJ 


DECISION 


REGISTER CITATION 


99DHR0538 


Gray 


08/02/99 




99DHRI132 


Gray 


12/20/99 




99 DHR 1495 


Gray 


01/04/00 




99 DHR 0354 


Wade 


07/21/99 




99 DHR 0355 


Wade 


07/21/99 




99 DHR 0520 


Morrison 


06/10/99 




99 DHR 0927 


Gray 


10/21/99 




99 DHR 0950 


Gray 


12/20/99 




99 MIS 0677 


Maim 


08/17/99 




97CRA1570 


Maim 


10/26/99 




98CRA0727 


Reilly 


06/24/99 




99 CRA 0628 


ReiUy 


06/14/99 




99CRA 1697 


Chess 


01/22/00 




00 CRA 0010 


Wade 


02/21/00 




96CSE 172l*» 


Marm 


09/17/99 




96CSE 1725 


Reilly 


09/02/99 




96CSE 1810 


Reilly 


06/28/99 




97CSE04I6 


Morrison 


08/24/99 




97 CSE 0867** 


Maim 


09/17/99 




97CSEI464 


Gray 


02/24/00 




97 CSE 1569 


Mann 


10/26/99 




98 CSE 0054 


Gray 


10/21/99 




98 CSE 0229 


Morrison 


06/30/99 




98 CSE 0544 


Gray 


10/21/99 




98 CSE 0845 


Phipps 


09/21/99 




98 CSE 0898 


Gray 


07/23/99 




98 CSE 1182 


Marm 


10/26/99 




98 CSE 1387 


Mann 


09/17/99 




98 CSE 1392 


Reilly 


06/24/99 




98 CSE 1419 


Mann 


09/17/99 




98 CSE 1428 


Reilly 


01/11/00 




98 CSE 1435 


Gray 


08/04/99 




98 CSE 1440 


Morrison 


10/20/99 




98 CSE 1448 


Reilly 


04/14/00 




98 CSE 1549 


Marm 


09/17/99 




98 CSE 1562 


Marm 


09/17/99 




98 CSE 1563 


Chess 


01/04/00 




98 CSE 1585 


Mann 


09/17/99 




98 CSE 1586 


Morrison 


06/25/99 




98 CSE 1588 


Phipps 


09/21/99 




98 CSE 1612 


Mann 


11/02/99 




98 CSE 1613 


Phipps 


09/21/99 




98 CSE 1616 


Lassiter 


01/21/00 




98 CSE 1635 


Chess 


09/30/99 




98 CSE 1638 


Mann 


09/17/99 




98 CSE 1700 


Mann 


03/07/00 




98 CSE 1702" 


Lassiter 


01/12/00 




98 CSE 1717 


Reilly 


11/02/99 




98 CSE 1785" 


Lassiter 


01/12/00 




98 CSE 1789 


Phipps 


05/27/99 




99 CSE 0209 


Lassiter 


11/18/99 




99 CSE 0217 


Wade 


1 1/30/99 




99 CSE 0275 


Reilly 


03/07/00 




99 CSE 0301 


Marm 


07/01/99 




99 CSE 0311 


Reilly 


06/30/99 




99 CSE 03 17 


Mann 


07/01/99 




99 CSE 03 18 


Wade 


07/14/99 




99 CSE 0330 


Chess 


08/10/99 




99 CSE 0359 


Gray 


06/28/99 




99 CSE 0370 


Mann 


11/02/99 




99 CSE 0371 


Morrison 


06/28/99 




99 CSE 0373 


Phipps 


07/12/99 




99 CSE 0374 


Reilly 


06/14/99 




99 CSE 0427 


Lassiter 


10/20/99 





2015 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



CONTESTED CASE DECISIONS 



AGENCY 

Adelheide J. Cooper v. Department of Health & Human Services 
Beverly K. Thompson v. Department of Health & Human Services 
Michael L. Timmer v. Department of Health & Human Services 
Elizabeth F. West v. Department of Health & Human Services 
Troy Gibson v. Department of Health & Human Services 
Roy D. Washington v. Department of Health & Human Services 
Everett A. Mitchell v. Department of Health & Human Services 
Corey Antoine Johnson v. Department of Health & Human Services 
Holland E. Harold v. Department of Health & Human Services 
Larry Lowell Dixon v. Department of Health & Human Services 
Calvin D. Alston v. Department of Health & Human Services 
Marquel Simmons v. Department of Health & Human Services 
Anthony Vincente Battista v. Department of Health & Human Services 
Gerald Scott Saucier v. Department of Health & Human Services 
Lawrence Gordon Soles v. Department of Health & Human Services 
Mohamed Moustafa v. Department of Health & Human Services 
Damion C. Graham v. Department of Health & Human Services 
Vicky L. Day v. Department of Health & Hiunan Services 
Matthew Conklin v. Department of Health & Human Services 
Charlie James White v. Department of Health & Human Services 
Bennie Lamar Knighten v. Department of Health & Human Services 
Larie Bolton v. Department of Health & Human Services 
Randy Lewis Bryant v. Department of Health & Human Services 
Earl C. Jones, Sr. v. Department of Health & Human Services 
Joseph F. Donaldson, 111 v. Department of Health & Human Services 
Naion V. Pride v. Department of Health & Human Services 
Claude W. Jordan v. Department of Health & Human Services 
Henry Roosevelt Mercer v. Department of Health & Human Services 
Bobby Gene Owens v. Department of Health & Human Services 
Thomas L. Vaughn v. Department of Health & Human Services 
Robert F. Skipper v. Department of Health & Human Services 
Gerald W. Lawson v. Department of Health & Human Services 
Marion Amett v. Department of Health & Human Services 
David S. Yusko v. Department of Health & Human Services 
Debbie Galmon Moore v. Department of Health & Human Services 
Kenneth Dana Kirk v. Department of Health & Human Services 
Gill T. Smith v. Department of Health & Human Services 
Clarence Earl Burden v. Department of Health & Human Services 
Gary Willis v. Department of Health & Himian Services 
Phillip Drye v. Department of Health & Human Services 
William Kizzie v. Department of Health & Human Services 
June S. Shepherd v. Department of Health & Human Services 
James Homoki v. Department of Health & Human Services 
Frank Edward Crane v. Haywood Co. Dept. of Social Services 
Michael Bryant v. Department of Health & Human Services 
John Awuruonye v. Department of Health & Human Services 
Richard A. McKeller v. Department of Health & Human Services 
Sharon Tucker v. Department of Health & Hiunan Services 
Darryl A. Bonner, Sr., v Department of Health & Human Services 
Louella R. Snider v Department of Health & Human Services 
Raymond Ortiz v. Department of Health & Human Services 
Eddie Southards v. Department of Health & Human Services 
Adelheide Cooper v. Department of Health & Human Services 
Dalvin Leon Eggleston v. Department of Health & Human Services 
Elliot G. Skillem v. Department of Health & Human Services 
John Ciccarelli v. Department of Health & Human Services 
Eugene R. Hoover v. Department of Health & Hirnian Services 
David Black v. Department of Health & Human Services 
David Black v. Department of Health & Human Services 
Malcolm S. Mimgo v. Department of Health & Human Services 
Phillip W. Wyman, Jr. v. Department of Health & Human Services 
Terry J. Vickers v. Department of Health & Himian Services 
Ernest Chavis v. Department of Health & Human Services 
Reginald B. Bratton v. Department of Health & Human Services 
John J. Lowman v. Department of Health & Human Services 
George T. Crudup v. Department of Health & Himian Services 
Albert Huntley v. Department of Health & Human Services 
Hasan A. Rahman v. Department of Health & Human Services 
Frankie D. Lewis v. Department of Health & Human Services 
Warren Love, Jr. v Department of Health & Human Services 
Fragrick O. Brown v. Department of Health & Human Services 
Williams, Ernest E v. Department of Health & Human Services 
Robert E. Wilson v. Department of Health & Human Services 
John T. Wolfe, Jr. v. Department of Health & Human Services 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


ALJ 


DECISION 


REGISTER CITATION 


99 CSE 0428 


Phipps 


07/19/99 




99 CSE 0435 


Reilly 


06/14/99 




99 CSE 0437 


Wade 


06/08/99 




99 CSE 0451 


Morrison 


05/25/99 




99 CSE 0462 


Owens 


07/19/99 




99 CSE 0481 


Reilly 


06/25/99 




99 CSE 0483 


Chess 


10/05/99 




99 CSE 0486 


Gray 


09/13/99 




99 CSE 0509 


Mann 


1 1/02/99 




99 CSE 05 18 


Morrison 


08/24/99 




99 CSE 0539 


Owens 


08/10/99 




99 CSE 0547 


Wade 


08/06/99 




99 CSE 0551 


Chess 


08/31/99 




99 CSE 0576 


Mann 


06/09/99 




99 CSE 0581 


Morrison 


06/09/99 




99 CSE 0582 


Owens 


08/05/99 




99 CSE 0635 


Wade 


12/06/99 




99 CSE 0679 


Gray 


09/27/99 




99 CSE 0689 


Mann 


09/17/99 




99 CSE 0690 


Morrison 


07/20/99 




99 CSE 0702 


Owens 


09/20/99 




99 CSE 0735 


Phipps 


08/06/99 




99 CSE 0737 


Reilly 


09/20/99 




99 CSE 0801 


Gray 


08/10/99 




99 CSE 0802 


Mann 


1 1/02/99 




99 CSE 0825 


Phipps 


08/20/99 




99 CSE 0831 


Reilly 


10/11/99 




99 CSE 0841 


Wade 


10/20/99 




99 CSE 0877 


Gray 


10/11/99 




99 CSE 0883 


Marm 


11/08/99 




99 CSE 0899 


Morrison 


10/20/99 




99 CSE 0909 


Lassiter 


11/16/99 




99 CSE 0919 


Gray 


03/23/00 




99 CSE 0953 


Chess 


12/13/99 




99 CSE 0957 


Gray 


10/18/99 




99 CSE 0972 


Maim 


10/26/99 




99 CSE 1015 


Wade 


1 1/30/99 




99 CSE 1037 


Chess 


11/18/99 




99 CSE 1040 


Gray 


12/02/99 




99 CSE 1043 


Mann 


12/14/99 




99 CSE 1049 


Morrison 


12/01/99 




99 CSE 1074 


Lassiter 


12/09/99 




99 CSE 1141 


Lassiter 


01/05/00 




99 CSE 1 168 


Wade 


01/04/00 




99 CSE 1235 


Gray 


11/17/99 




99 CSE 1258 


Maim 


01/12/00 




99 CSE 1264 


Lassiter 


01/21/00 




99 CSE 1283 


Reilly 


1 1/30/99 




99 CSE 1284 


Wade 


02/03/00 




99 CSE 1286 


Gray 


02/08/00 




99 CSE 1287 


Mann 


01/12/00 




99 CSE 1288 


Morrison 


1 1/30/99 




99 CSE 1310 


Lassiter 


12/23/99 




99 CSE 1311 


Mann 


03/07/00 




99 CSE 1313 


Reilly 


01/24/00 




99 CSE 1324 


Wade 


12/15/99 




99 CSE 1333 


Morrison 


12/20/99 




99 CSE 1334 


Reilly 


12/17/99 




99 CSE 1338 


Reilly 


12/17/99 




99 CSE 1345 


Lassiter 


12/23/99 




99 CSE 1354 


Mann 


02/08/00 




99 CSE 1360 


Wade 


02/22/00 




99 CSE 1361 


Chess 


03/27/00 




99 CSE 1368 


Morrison 


02/08/00 




99 CSE 1374 


Mann 


02/08/00 




99 CSE 1375 


Reilly 


01/05/00 




99 CSE 1377 


Chess 


03/29/00 




99 CSE 1378 


Gray 


12/20/99 




99 CSE 1384 


Mann 


03/08/00 




99 CSE 1385 


Morrison 


02/08/00 




99 CSE 1387 


Mann 


03/28/00 




99 CSE 1391 


Wade 


04/11/00 




99 CSE 1404 


Morrison 


02/18/00 




99 CSE 1405 


Lassiter 


03/15/00 





14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2016 



CONTESTED CASE DECISIONS 



AGENCY 

Derick C. Graham v. Department of Health & Human Services 
Scott M. Rodriguez v. Department of Health & Human Services 
William Kjzzie v Department of Health & Human Services 
King O. Williams v. Department of Health & Human Services 
Michael J. Artis V. Department of Health & Human Services 
Jay Martin Cmeckiy v. Department of Health & Human Services 
Keith L. Epps v. Department of Health & Human Services 
Randolph C. Pitcock v. Department of Health & Human Services 
Keith J. Ullom v. Department of Health & Human Services 
Robert E. Hall v. Department of Health & Himian Services 
Micheal A. Wrenn v. Department of Health & Human Services 
Nelson B. Chambers v. Department of Health & Human Services 
William Wilcox v. Department of Health & Human Services 
John Leon Jordan v. Department of Health & Human Services 
Darryl L. Love v. Department of Health &Human Services 
Patrick Lindsey v. Department of Health & Human Services 
Sutee Vongvilay v. Department of Health & Himian Services 
Demetrius Gamble v. Department of Health & Human Services 
Robert Potts v. Department of Health & Human Services 
Manuel U. Marin v. Department of Health & Human Services 
Ray Robinson v. Department of Health & Human Services 
James Scott Perry v. Department of Health & Human Services 
Bobby L. Bell v. Department of Health & Human Services 
Donahue Golden v. Department of Health & Human Services 
Darrick A. Fewell v. Department of Health & Human Services 
Everton Walker v. Department of Health & Hiunan Services 
Charles Bradley v. Department of Health & Human Services 
Cliffored Blackburn v. Department of Health & Human Services 
James Freeman v. Department of Health & Human Services 
Kevin Vereen v. Department of Health & Human Services 
Robert T. Ausband v. Department of Health & Hiunan Services 
Samuel G. Wilson v. Department of Health & Himian Services 
Terrrence B. Dean v. Department of Health & Human Services 
Willie J. Gadson v. Department of Health & Human Services 
Aherrik Lane v. Department of Health & Human Services 
Michael David Jarvis v Department of Health & Human Services 
Amy Logan v. Department of Health & Human Services 
Mickey Robinson v. Department of Health & Human Services 
Johnathan O. Smith v. Department of Health & Human Services 
Dawud S. Shabazz v. Department of Health & Human Services 
Calvin L. McFayden v. Department of Health & Human Services 
E. Monica Ward-Murray v. Department of Health & Human Services 
Dennis R. Carros, Jr. v. Department of Health & Human Services 
Wayne L. DeRoss v. Department of Health & Human Services 
Rex E. Bamett v. Department of Health & Human Services 
Angela M. White v. Department of Health & Human Services 
Charles H. Bryson, Jr. v. Department of Health & Human Services 
Pamatha Shields v. Department of Health & Human Services 
Karlos M. Gregory v. Department of Health & Human Services 
Farrell John Jordan v. Department of Health & Human Services 
Roger S. Chandler v. Department of Health & Human Services 
William H. Strange v. Department of Health & Human Services 
Joseph E. Hosch v. Department of Health & Human Services 
George L. Cherry v. Department of Health & Human Services 
Dednck L. Adell v. Department of Health & Human Services 
Elliott W. Ross 82CVD008898 v. Dept. of Health & Human Services 
Albert D. Dutzman II v. Department of Health & Human Services 
Uriah Thompson, III v. Department of Health & Human Services 
Jose A. Baralaga v. Department of Health & Human Services 
Thomas A. Stewart, II v. Department of Health & Human Services 
Donald D. Birkhofer v. Department of Health & Human Services 
Dennis D. Home v. Department of Health & Human Services 
Vashon Kearney v. Department of Health & Human Services 
Peter Feige v. Department of Health & Human Services 
Donald S. Dorest v. Department of Health & Human Services 
Randy Russotti v. Department of Health & Human Services 
Malcolm Kelly Teague v. Department of Health & Human Services 
Damion C. Graham v. Department of Health & Human Services 
Willie J. Curry v. Department of Health & Human Services 
Eugene B. Patton v. Department of Health & Human Services 
Jania O. Early v. Department of Health & Human Services 
Frank P. Nelson v. Department of Health & Human Services 
James Woods v. Department of Health & Human Services 
Uriah Thompson III v. Department of Health & Human Services 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


AU 


DECISION 


REGISTER CFTATION 


99CSE 1406 


Mann 


03/08/00 




99 CSE 1407 


Reilly 


04/03/00 




99 CSE 1409 


Chess 


02/04/00 




99 CSE 1412 


Mann 


12/20/99 




99 CSE 1419 


Morrison 


12/13/99 




99 CSE 1425 


Reilly 


02/14/00 




99 CSE 1426 


Wade 


01/06/00 




99 CSE 1429 


Mann 


01/21/00 




99 CSE 1430 


Morrison 


02/10/00 




99 CSE 1435 


Mann 


02/14/00 




99 CSE 1436 


Lassiter 


03/28/00 




99 CSE 1437 


Mann 


01/04/00 




99 CSE 1440 


Reilly 


01/04/00 




99 CSE 1441 


Wade 


03/28/00 




99 CSE 1443 


Chess 


04/06/00 




99 CSE 1444 


Gray 


02/21/00 




99 CSE 1445 


Mann 


02/25/00 




99 CSE 1446 


Morrison 


03/03/00 




99 CSE 1447 


Lassiter 


02/21/00 




99 CSE 1450 


Chess 


02/21/00 




99 CSE 1463 


Lassiter 


02/15/00 




99 CSE 1465 


Wade 


02/21/00 




99 CSE 1468 


Gray 


02/04/00 




99 CSE 1470 


Mann 


03/07/00 




99 CSE 1471 


Morrison 


02/24/00 




99 CSE 1476 


Lassiter 


01/11/00 




99 CSE 1477 


Mann 


01/12/00 




99 CSE 1478 


Reilly 


02/21/00 




99 CSE 1480 


Wade 


02/21/00 




99 CSE 1485 


Morrison 


02/21/00 




99 CSE 1492 


Maim 


01/21/00 




99 CSE 1493 


Morrison 


03/02/00 




99 CSE 1497 


Maim 


02/25/00 




99 CSE 1498 


Reilly 


01/04/00 




99 CSE 1500 


Chess 


02/22/00 




99 CSE 1503 


Morrison 


02/04/00 




99 CSE 1505 


Mann 


02/25/00 




99 CSE 1506 


Reilly 


02/21/00 




99 CSE 1508 


Mann 


03/08/00 




99 CSE 1509 


Wade 


02/03/00 




99 CSE 1511 


Gray 


02/21/00 




99 CSE 1512 


Mann 


03/08/00 




99 CSE 1514 


Lassiter 


02/21/00 




99 CSE 1515 


Wade 


02/21/00 




99 CSE 1528 


Reilly 


02/24/00 




99 CSE 1532 


Gray 


02/11/00 




99 CSE 1533 


Mann 


02/25/00 




99 CSE 1534 


Morrison 


02/21/00 




99 CSE 1535 


Lassiter 


01/11/00 




99 CSE 1536 


Mann 


02/15/00 




99 CSE 1537 


Reilly 


02/25/00 




99 CSE 1539 


Wade 


02/25/00 




99 CSE 1540 


Chess 


02/22/00 




99 CSE 1546 


Reilly 


02/01/00 




99 CSE 1547 


Wade 


02/25/00 




99 CSE 1550 


Gray 


02/25/00 




99 CSE 1559 


Morrison 


02/25/00 




99 CSE 1563 


Lassiter 


03/27/00 




99 CSE 1564 


Momson 


02/15/00 




99 CSE 1569 


Reilly 


01/11/00 




99 CSE 1570 


Wade 


01/07/00 




99 CSE 1572 


Mann 


03/07/00 




99 CSE 1576 


Gray 


02/08/00 




99 CSE 1581 


Mann 


02/15/00 




99 CSE 1588 


Lassiter 


01/05/00 




99 CSE 1606 


Gray 


02/08/00 




99 CSE 1621 


Mann 


02/15/00 




99 CSE 1622 


Morrison 


03/06/00 




99 CSE 1623 


Lassiter 


01/05/00 




99 CSE 1659 


Morrison 


03/08/00 




99 CSE 1661 


Mann 


03/28/00 




99 CSE 1667 


Reilly 


02/15/00 




99 CSE 1718 


Morrison 


04/04/00 




00 CSE 0005 


Reilly 


04/14/00 





2017 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



CONTESTED CASE DECISIONS 



AGENCY 

Harvey H. Boyd v. Department of Health & Human Services 
James A. Liles v. Department of Health & Human Services 
Tony G. Hanis v. Department of Health & Human Services 
Joseph C. Childers v. Department of Health & Himian Services 
Christopher L. Baker v. Department of Health & Human Services 
Ronald Holton v. Department of Health & Human Services 
Patresea Reese v. Department of Health & Hiunan Services 
Todd P. Schroeder v. Department of Health & Human Services 
Bruce R. Buchanan Sr. v. Department of Health & Human Services 
William M. Fields v. Department of Health & Human Services 
Tammy Callison (Coneway) v. Department of Health & Human Services 

Muriel Thomas v. DHR, Div of Social Services98 DCS 0631 
Kathryn P. Pagan v. Department of Health & Himian Services 
Tresha W. Robinson v. Department of Health & Human Services 
Robert Dwayne Kermedy v. Department of Health & Human Services 
Deborah Seegars v. Department of Health & Human Services 
Tabitha Y. Richard v. Department of Health & Human Services 
Lillian Anne Darroch v. Department of Health & Human Services 
Evelyn C. Pratt v. Department of Health & Human Services 
Jacqueline D. Caldwell v. Department of Health & Human Services 
Doctor M. Adl-Anubia v. DHR, Div. of Social Services 
Sharon D. Perry v. DHR, Div. of Social Services 
Perry D. Wall v. Department of Health & Human Services 
Tamathae S. Edwards-Harden v. DHR, Div. of Social Services 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


ALJ 


DECISION 


REGISTER CITATION 


00 CSE 0074 


Gray 


03/15/00 




00 CSE 0095 


Morrison 


03/21/00 




00 CSE 0125 


Morrison 


03/27/00 




00 CSE 0141 


Lassiter 


03/22/00 




00 CSE 0159 


Wade 


04/19/00 




00 CSE 0186 


Lassiter 


03/28/00 




00 CSE 0188 


Maim 


03/28/00 




00 CSE 0209 


Lassiter 


04/11/00 




00 CSE 0238 


Reilly 


04/14/00 




00 CSE 0257 


Morrison 


04/18/00 




00 CSE 1359 


Reilly 


04/14/00 




Wade 


12/15/99 






98 DCS 1769 


Morrison 


06/25/99 




99 DCS 0480 


Gray 


10/18/99 




99 DCS 0482 


Wade 


09/10/99 




99 DCS 0505 


Phipps 


06/30/99 




99 DCS 0545 


Reilly 


03/15/00 




99 DCS 0555 


Gray 


07/06/99 




99 DCS 0813 


Owens 


08/25/99 




99 DCS 0974 


Morrison 


09/20/99 




99 DCS 1 146 


Chess 


04/06/00 




99 DCS 1461 


Morrison 


03/28/00 




99 DCS 1592 


Wade 


03/15/00 




00 DCS 0060 


Reilly 


04/03/00 





JUSTICE 

Alarm Systems Licensing Board 

Terry Allen Brickey v. Alarm Systems Licensing Board 
Travis Eric Reardon v. Alarm Systems Licensing Board 
Brian Anthony Bartimac v. Alarm Systems Licensing Board 
Paul Luke Walczak v. Alarm Systems Licensing Board 
Melvin T. Lohr v. Alarm Systems Licensing Board 
Bradford D. Penny v. Alarm Systems Licensing Board 
Benny L. Shaw v. Alarm Systems Licensing Board 
Tracey Larue Santana v. Alarm Systems Licensing Board 
Donald Eugene Boger v. Alarm Systems Licensing Board 
Kajur Washburn v. Alarm Systems Licensing Board 
Timothy Chezere Sifford v. Alarm Systems Licensing Board 
Howard Douglas Self v. Alarm Systems Licensing Board 
Edward W. Hester v. Alarm Systems Licensing Board 
Steven Craig HoUoway v. Alarm Systems Licensing Board 
Richard C. Young v. Alarm Systems Licensing Board 
Roger Bennett, Jr. v. Alarm Systems Licensing Board 
Heather Lyim Griffin v. Alarm Systems Licensing Board 

Education and Training Standards Division 

Linda Deloris King v. Criminal Justice Ed. & Training Stds. Comm. 
Rock Steven Edwards v. Criminal Justice Ed. & Training Stds. Comm. 
Michael Angelo Dtmn, Sr, v Criminal Justice Ed. & Training Stds. Comm. 
Anthony Scott Hughes v. Sheriffs' Ed. & Training Standards Comm. 
Hal Pilgreen v. Criminal Justice Ed. & Training Stds. Comm. 
Emma J. Kiser v. Sheriffs' Ed. & Training Standards Comm. 
Keith Allen Norris v. Sheriffs' Ed. & Training Standards Comm. 
Sherry Davis Kenney v. Criminal Justice Ed. & Training Stds. Comm. 
Leroy Darrell Jones, Jr. v. Criminal Justice Ed. & Training Stds. Comm. 
Brian G. Mead v. Criminal Justice Education & Training Stds. Comm. 
Steven Randolph Russell v. Criminal Justice Ed. & Training Stds. Comm. 
Russell Lee Yelverton v. Criminal Justice Ed. & Training Stds. Comm. 
James Marion Massey v. Criminal Justice Ed. & Training Stds. Comm. 
Mark E. Narron v. Sheriffs' Ed. & Training Stds. Commission 
Shean E. Taylor v. Sheriffs' Ed. & Training Stds. Commission 
Dennis L. Ramsingh v. Sheriffs' Ed. & Training Stds. Commission 
Sandra G. Armstrong v. Sheriffs' Ed. & Training Standards Coinm. 
Edward L. Lusk v. Sheriffs' Ed. & Training Standards Comm. 
Tonnette Bembury v. Sheriffs' Ed. & Training Standards Comm. 
Terry Leon Jones v. Criminal Justice Education & Training Stds. Comm. 
Noel Benjamin Rice v. Criminal Justice Ed. & Training Stds. Comm. 
Laveme Artis v. Sheriffs' Ed. & Training Standards Commission 
Brenda J. Hines v. Sheriffs' Education & Training Stds. Comm. 
George Hoke Powell, Jr. v. Criminal Justice Ed. & Training Stds. Comm. 
Marcus Anthony Dixon v Sheriffs' Education & Training Stds. Comm. 
Charles S. Triplet! v. Criminal Justice Ed. & Training Stds. Comm. 
Jack C. Davis v. Sheriffs' Education & Training Stds. Comm. 



99 DOJ 0097 


Wade 


05/21/99 




99 DOJ 0446 


Phipps 


07/28/99 




99 DOJ 0487 


Morrison 


05/25/99 




99 DOJ 0489 


Owens 


08/03/99 




99 DOJ 0490 


Morrison 


05/24/99 




99 DOJ 0522 


Morrison 


06/08/99 




99 DOJ 0523 


Morrison 


06/08/99 




99 DOJ 0524 


Phipps 


09/24/99 




99 DOJ 0715 


Owens 


07/29/99 




99 DOJ 0716 


Owens 


07/29/99 




99 DOJ 1022 


Morrison 


09/24/99 




99 DOJ 1230 


Reilly 


10/27/99 




99 DOJ 1295 


Morrison 


12/03/99 




99 DOJ 1299 


Morrison 


12/07/99 




99 DOJ 1304 


Morrison 


12/03/99 




99 DOJ 1466 


Wade 


01/07/00 




99 DOJ 1734 


Morrison 


02/08/00 




98 DOJ 0573 


Mann 


03/21/00 




98 DOJ 0906 


Chess 


05/13/99 




98 DOJ 1503 


Chess 


01/20/00 


14:18 NCR 1649 


98 DOJ 1530 


Chess 


05/12/99 




98 DOJ 1775 


Chess 


06/09/99 




98 DOJ 1793 


Gray 


06/07/99 




99 DOJ 0045 


Mann 


07/29/99 


14:04 NCR 351 


99 DOJ 0067 


Wade 


06/08/99 




99 DOJ 0068 


Gray 


02/25/00 


14:19 NCR 1794 


99 DOJ 0106 


Gray 


10/07/99 




99 DOJ 0123 


Owens 


10/29/99 


14:11 NCR 928 


99 DOJ 0131 


Phipps 


08/11/99 




99 DOJ 0168 


Reilly 


10/11/99 




99 DOJ 0453 


Morrison 


09/08/99 


14:07 NCR 568 


99 DOJ 0790 


Reilly 


09/29/99 




99 DOJ 0796 


Gray 


11/04/99 




99 DOJ 0844 


Mann 


09/24/99 




99 DOJ 0846 


Phipps 


09/29/99 




99 DOJ 0934 


Reilly 


09/29/99 




99 DOJ 1054 


Wade 


10/21/99 




99 DOJ 1058 


Chess 


03/02/00 




99 DOJ 1137 


Morrison 


01/31/00 




99 DOJ 1138 


Wade 


10/14/99 




99 DOJ 1363 


Chess 


12/08/99 




99 DOJ 1527 


Chess 


01/21/00 




99 DOJ 1 584 


Wade 


03/08/00 




99 DOJ 1586 


Wade 


03/08/00 





14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2018 



CONTESTED CASE DECISIONS 



AGENCY 

Tommie L. Wiggins v. Sheriffs' Education & Training Stds. Comm. 

Private Protective Services Board 

Tri-City Securities and James G. Hulcherson v. Private Protective Svcs. Bd. 
Tri-City Securities and James G. Hutcherson v. Private Protective Svcs. Bd. 
Ordie Hazu McFarland v. Private Protective Sei^ices Board 
Thomas E. Mewbom v. Private Protective Services Board 
Michael Lynn Arter v. Private Protective Services Board 
Jeffrey S. Moore v. Private Protective Services Board 
Bonnie Marie Keller v. Private Protective Services Board 
Shawn E. Alexander v. Private Protective Services Board 
Ronald E. Sulloway v. Private Protective Services Board 
Raymond Solomon v. Private Protective Services Board 
Charles E. Evans, Jr. v. Private Protective Services Board 
Lawrence Martin v. Private Protective Services Board 
William E. Ellis, Sr. v. Private Protective Services Board 
Bobby James Nicholson v. Private Protective Services Board 
Murray J. Degnan v. Private Protective Services Board 
James Lee Morris v. Private Protective Services Board 
Thomas William Atchison v. Private Protective Services Board 
Mark Lavem Hewitt v. Pnvate Protective Services Board 
Robert Steven Pekel v. Private Protective Services Board 
Peggy Ann Galespie v. Private Protective Services Board 
Michael Jaye Kom v. Private Protective Services Board 
Jacqueline Renee Haywood v. Private Protective Services Board 
Isaiah Komegay, Jr. v. Private Protective Services Board 
Wayne Orlando Miller v. Private Protective Services Board 
Richard Asiedu v. Private Protective Services Board 
David Gregory Mims v. Private Protective Services Board 
Garland D. Melvin v. Private Protective Services Board 
Jerron Devoa Caldwell v. Private Protective Services Board 
Theodore Little v. Private Protective Services Board 
Dennis L. Young v. Pnvate Protective Services Board 
Jose V. Vargas v. Private Protective Services Board 
Gwendolyn L. Gray v. Private Protective Services Board 
Allen D. Edenbum v. Private Protective Services Board 
Chris George McCracken v. Private Protective Services Board 
William Torres v. Private Protective Services Board 
John Smiley v. Private Protective Services Board 
Lynn Allen Hoosier, Hoosier Investigations & Secunty Services, Inc. v. 
Private Protective Services Board 



CASE 




NUMBER 


ALJ 


99DOJ 1688 


Marm 


98DOJ 1749*' 


Phipps 


98DOJ 1752*' 


Phipps 


99 DOJ 0099 


Morrison 


99DOJ0101 


Owens 


99 DOJ 0262 


Wade 


99 DOJ 0488 


Morrison 


99 DOJ 0491 


Morrison 


99 DOJ 0492 


Owens 


99 DOJ 0493 


Morrison 


99 DOJ 0494 


Morrison 


99 DOJ 0496 


Morrison 


99 DOJ 0526 


Morrison 


99 DOJ 0527 


Morrison 


99 DOJ 0528 


Phipps 


99 DOJ 0529 


Gray 


99 DOJ 0714 


Chess 


99 DOJ 1018 


Morrison 


99 DOJ 1019 


Gray 


99 DOJ 1 020 


Gray 


99 DOJ 1121 


Chess 


99 DOJ 1122 


Wade 


99 DOJ 1123 


Gray 


99 DOJ 1290 


Morrison 


99 DOJ 1291 


Morrison 


99 DOJ 1293 


Morrison 


99 DOJ 1 294 


Chess 


99 DOJ 1296 


Morrison 


99 DOJ 1297 


Chess 


99 DOJ 1300 


Wade 


99 DOJ 1301 


Morrison 


99 DOJ 1302 


Morrison 


99 DOJ 1303 


Morrison 


99 DOJ 1305 


Morrison 


99 DOJ 1417 


Morrison 


99 DOJ 1733 


Morrison 


00 DOJ 0016 


Morrison 


00 DOJ 0057 


Lassiter 



DATE OF 
DECISION 



02/24/00 



09/02/99 
09/02/99 
10/12/99 
07/30/99 
05/25/99 
05/24/99 
05/24/99 
07/19/99 
05/24/99 
05/25/99 
05/25/99 
10/25/99 
06/08/99 
08/17/99 
1 1/29/99 
12/08/99 
09/21/99 
11/10/99 
11/10/99 
12/08/99 
01/07/00 
11/10/99 
12/07/99 
12/09/99 
12/09/99 
12/08/99 
12/03/99 
12/08/99 
01/07/00 
12/03/99 
12/03/99 
12/03/99 
12/03/99 
1 1/29/99 
03/09/00 
02/29/00 
03/20/00 



PUBLISHED DECISION 
REGISTER CITATION 



♦ 



PUBLIC INSTRUCTION 

Martin Wayne Fletcher v. St. Bd. of Educ, Dept of Public Instruction 
S.H. by and through her guardian and custodian, H.H. and H.H v. 

Henderson County Board of Education 
Paula Momll, individually/on behalf of John Morrill v. Wake Cty. Schools 
S.L.F. and S.F.F. v. Charlotte-Mecklenburg Board of Education 
Marshall Scott Bratuian v. Department of Public Instruction 
Matthew Weber, and his father and next friend, Brian Weber, and Brian 

Weber v. Wilkes County Schools 
Michael Mathison v. Charlotte-Mecklenburg Board of Education 
David J. Dew v. Charlotte-Mecklenburg Board of Education 
Deborah F. Brogden v. State Board of Education 
C. Kenneth Warrington v. Edgecombe County Schools 
Edward Lawrence Morrill & Paula Marie Morrill v. Board of Directors 

Raleigh Charter High School 
Beverly Simon Hamilton v Union County Board of Education 

STATE PERSONNEL 



98 EDC 0001 


Chess 


09/21/994 




98EDC 1124 


Marm 


06/11/99 




98 EDC 1205 


Gray 


09/24/99 




98 EDC 1649 


Mann 


06/04/99 




98 EDC 1796 


Owens 


07/13/99 


14:07 NCR 565 


99 EDC 0291 


Mann 


09/07/99 




99 EDC 0390 


Gray 


12/16/99 




99 EDC 0498 


Gray 


12/13/99 




99 EDC 0734 


Reilly 


10/05/99 




99 EDC 0955 


Reilly 


09/29/99 




99 EDC 1080 


Chess 


01/11/00 




99 EDC 1280 


Gray 


02/01/00 





Department of Administration 

Bernard A. Brown v. Department of Administration 

Department of Agriculture 

H.C. Troxler, Jr. v. Dept. of Agriculture and Consumer Services 

Community Colleges 

Thomas Michael Chamberlin v. Department of Community Colleges 

Correction 

E. Wayne Irvin v. Department of Correction 
Calvia L. Hill v. Department of Correction 
Betty Jean Grant v. Department of Correction 



99OSPI025 


Wade 


01/14/00 






99 OSP 0659 


Chess 


07/27/99 






99OSP0286 


Phipps 


06/25/99 






94 OSP 1791 


Morrison 


05/18/99 


14:01 NCR 


60 


98 OSP 0268 


Reilly 


02/15/00 






98 OSP 0974 


Lassiter 


04/07/00 







4 



2019 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



CONTESTED CASE DECISIONS 



AGENCY 

Pershield DeLoatch v. Department of Correction 

Deborah Smith v. Department of Correction 

Maydean L. Taylor v. Department of Correction 

Ann McMillian v. Morrison Youth Institution, Department of Correction 

Edward Alan Roper v. DOC, Div. of Prisons, Western Youth Institute 

Shirley Sellars v. Department of Correction 

Sean R. Dillard v. Dept. of Correction, Pasquotank Correctional Inst. 

DeCarlos Stanley v. Department of Correction 

Steve A. Matthews v. Department of Correction 

Patrick Smith v. Department of Correction 

Harry E. Kenan v. Capt. B.F. Lewis, Polk Youth Institution 

Robert Russell, Jr. v. Jeff Jones, Div of Community Corrections 

Judith Caves v. Department of Correction 

Shirley Sellars v. Department of Correction 

Richmond Fulmore v. Department of Correction, Wake Correctional 

Henry C. Parks v. DART/Admin., Ann Shea, Edward McCall, Thomas 

G. Ivester 
Jerry D. Crawford v. Department of Correction 99 OSP 0577 
Walter L. Whitaker v. Capt. Ricky Johnson, Pasquotank Corr. Inst. 
Angelo Alfonzo Smith v. Department of Correction 
Charles Creegan v. Department of Correction 
ICathi P. Brown v. NC Correctional Institute for Women 
David J. Dennis v. Department of Corrections, Polk Youth Institution 
Tara King v. Department of Corrections 
Joyce Ann Bullock v. Polk Youth Institution 
Timothy Ramey v. Department of Correction 
Bai'bara Leviner Jackson v. Department of Correction 
Curtis Lee Tucker v. Dept. of Correction - Caledonia 
Heather Williams v. Department of Correction 
June Aimette Cooley v. DOC, Correction Enterprises 
Edward E. Hodge v. Department of Correction 
Russell S. Jackson v. Department of Correction, Albemarle 

Correctional Inst./Michael York 
Valee Taylor v. Department of Correction 

Demetrice Ametha Keith v. DOC, Div. of Community Corrections 
Scott Powell v. Department of Correction, Central Prison 
Sharon Tucker v. Ms. LaVee Hamer, DOC, Gen. Coimsel to the Secretary 
Jan C. Smith v. Department of Correction, Dart Cherry Program 
June Annette Cooley v. DOC, Correction Enterprises 
Judy A . Brewer v. Odom Correctional Instittition 
Curtis Lee Tucker v. Department of Correction 

Crime Control and Public Safety 

Thomas Michael Chamberlin v. DCCPS, Center for Missing Persons 
Ira Braswell IV v. Governor's Crime Commission, DCCPS 

North Carolina School for the Deaf 

Steve Crawford v. North Carolina School for the Deaf 
Danny Wilson Carson v. North Carolina School for the Deaf 
Eric Arden Hurley v. North Carolina School for the Deaf 

Employment Security Commission 

Russell J. Suga v. Employment Security Conmiission 

Environment and Natural Resources 

L. Clifton Carroll v. Dept of Natural Resources, Div. of Parks and 

Recreation 
Larry A. Campbell v. NC Wildlife Resources Commission 
Pathe Vivek v. Department of Environment & Natural Resources 

Health and Human Services 

Debbie L. Whitley v. Wake County Department of Social Services 

Vera Crenshaw v. DHHS, Julian F. Keith Ale. & Drug Abuse Trtmt. Ctr. 

Ivey G. Rhodes v. Pitt County Mental Health Center 

Diaima H. Smith v. DHHS, Caswell Center 

Odessa D. Gwynn v. Caswell County Health Department 

Tonya Carson v. Bimcombe Coimty Health Center 

Doris Virginia Wearing v. Durham County Health Department 

Norman Kinnett v. DHHS, Caswell Center 

Leon Kea v. DHR, O'Berry Center 

Julia A. Cameron v. John Umstead Hospital, Health & Himian Services 

Danny Jacob v. Onslow County Board of Health 

Jency Abrams v. Department of Health & Human Services 

Joarm Thomas v. Neuse Mental Health Center 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


ALJ 


DECISION 


REGISTER CITATION 


98 OSP 1026 


Gray 


08/11/99 




98 OSP 1126 


Chess 


06/22/99 




98 OSP 1272 


Chess 


05/14/99 




98 OSP 1275 


Chess 


05/12/99 




98 OSP 1644 


Gray 


08/11/99 




98 OSP 1788'° 


Gray 


09/30/99 




98 OSP 1800 


Gray 


08/26/99 




99 OSP 0027 


Morrison 


06/22/99 




99 OSP 0162 


Morrison 


08/20/99 




99 OSP 0163 


Morrison 


10/14/99 




99 OSP 0257 


Phipps 


06/07/99 




99 OSP 0258 


Lassiter 


09/29/99 




99 OSP 0338 


Phipps 


09/29/99 


14:11 NCR 945 


99 OSP 0386'" 


Gray 


09/30/99 




99 OSP 0416 


Maim 


06/04/99 




99 OSP 05 12 


Morrison 


09/22/99 




Reilly 


06/02/99 






99 OSP 0644 


Gray 


10/12/99 




99 OSP 0675 


Gray 


1 1/04/99 




99 OSP 0765 


Reilly 


08/03/99 




99 OSP 0914 


Chess 


12/10/99 




99 OSP 0918 


Chess 


10/12/99 




99 OSP 0930 


Chess 


1 1/08/99 




99 OSP 1065 


Wade 


11/15/99 




99 OSP 1085 


Chess 


1 1/22/99 




99 OSP 1091 


Marm 


03/16/00 




99 OSP 1097 


Wade 


12/06/99 




99 OSP 1163 


Reilly 


12/13/99 




99 OSP 1164'-' 


Lassiter 


02/18/00 




99 OSP 1224 


Lassiter 


01/03/00 




99 OSP 1236 


Morrison 


12/22/99 




99 OSP 1256 


Lassiter 


01/05/00 




99 OSP 1318 


Gray 


03/17/00 




99 OSP 1413 


Marm 


03/01/00 




99 OSP 1519 


Gray 


01/10/00 




99 OSP 1647 


Gray 


01/21/00 




99 OSP 1662'-' 


Lassiter 


02/18/00 




99 OSP 1714 


Maim 


03/03/00 




00 OSP 0201 


Gray 


03/31/00 




99 OSP 0596*" 


Gray 


08/16/99 




99 OSP 1331 


Lassiter 


02/09/00 




99 OSP 0640 


Lassiter 


10/18/99 




99 OSP 0641 


Lassiter 


10/18/99 




99 OSP 0087 


Reilly 


06/24/99 




96 OSP 1122 


Reilly 


05/26/99 




98 OSP 0914 


Gray 


10/22/99 


14:12 NCR 1082 


99 OSP 0050 


Morrison 


11/10/99 


14:12 NCR 1086 


99 OSP 0956 


Chess 


10/06/99 




97 OSP 0722 


Phipps 


09/27/99 




98 OSP 0456 


Gray 


08/05/99 




98 OSP 0924 


Phipps 


07/09/99 




98 OSP 1245 


Chess 


01/10/00 




98 OSP 1299 


Gray 


08/25/99 




98 OSP 1335 


Gray 


02/16/00 




98 OSP 1432 


Reilly 


06/18/99 




98 OSP 1477 


Wade 


02/29/00 




98 OSP 1733 


Morrison 


12/22/99 




99 OSP 0053 


Morrison 


06/22/99 




99 OSP 0129 


Gray 


10/12/99 


14:11 NCR 936 


99 OSP 0147 


Owens 


08/11/99 




99 OSP 0254 


Reilly 


01/13/00 


14:18 NCR 1661 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2020 



CONTESTED CASE DECISIONS 



AGENCY 

Lisa Adams-Houghton v. Rockingham Co. Dept of Social Services 
Linda R. Walker v. Craven County Health Dept., Craven County 

Dept. of Social Services, and Craven County 
Timothy Truzy v. Department of Health & Human Services 
Carlos D. Burks, Sr. v. North Carolina Special Care Center 
Doima Pittman v. Department of Health & Human Services 
Bryan Benson v. Durham Cty. Area MH/DD/SAS Program 
Shirley C. Jones v. Department of Health & Human Services 
James Michael Dunn v. Pitt Co. Mental Health, Developmental 

Disabilities, and Substance Abuse Area Program 
Odell Hudson v. Health & Human Svcs., Dorothea Dix Hospital 
Erica Joynes v. Durham County Department of Social Services 
Thomas Michael Chamberlin v. Off. of Juvenile Justice, Juvenile 

Services Division, 14"" District Court Division 
Cheryl Highsmith v. DHHS, Youth Svcs., New Hanover Reg. Juvenile 

Detention Center 
Debra R. Dellacroce v. Department of Health & Htunan Services 
Carolyn A. Carter v. Cleveland Coimty Dept of Social Services 
Veda B. Gill v. Durham County Department of Social Services 
Patricia Pender v. DHHS, Eastern NC School for the Deaf 
Dennis W. Retzlaff v. Warren County Board of Health 
Dora P. Pettiford v. DHHS, Division of Mental Health 
Alan J. Herrick v Rutherford-Polk MH/DD/SAS 
Jency Abrams v. Department of Health & Human Services 
Todd L. Chavis v. Murdoch Center 99 OSP 1 388 

Edna W. Childs v. Gaston-Lincoln Area Mental Health Program 
Donald R. Hopper v. Dart Caswell 4415 
Anthony Ratcliff v. Department of Health & Human Services 
Johrmie R. Arrington v. DHHS, Dorothea Dix Hospital 

Johnston County 

Lili Romaine Lee v. County of Johnston 

Justice 

Thomas Michael Chamberlin v. Justice, Justice Academy 

Labor 

Robert C. Adams v. Department of Labor 

Department of Public Instruction 

Billy McEachem v. Schools of Robeson County 
John Lee Herbin v. Smarkand Manor Training School 
Linda D. Chapman v. Lenoir County Public Schools 

State Auditor 

Antonio Allen Bolton v. Office of the N.C. State Auditor 

Transportation 

Michelle Maloney Wilkins v. Department of Transportation 

Judy S. Grindstaff V. Department of Transportation 

Charles W. McAdams v. Dept. of Transportation, Div/Motor Vehicles 

Larry R. Lane v. Department of Transportation 

Ronald Roberson v. Dept. of Transportation, Right-of-Way Branch 

Shelvia Davis v. Department of Transportation 99 OSP 0156 

Carmalita Daniels v. Department of Transportation 

Paul N. Harris v. Dept. of Transportation, Div of Motor Vehicles 

Carolyn Campell v. Dept of Transportation 

John Gordon Strickland v. Department of Transportation 

University of North Carolina 

Wanda Troxler v. A & T State University and Dr. Ray J. Davis 
Vivian Smith Hammiel, Ling-Chih C. Hsu and Joel A. Williams v. East 

Carolina University 
Vivian Smith Hammiel, Ling-Chih C. Hsu and Joel A. Williams v. East 

Carolina University 
Vivian Smith Hammiel, Ling-Chih C. Hsu and Joel A. Williams v. East 

Carolina University 
Jackie S. Flowers v. East Carolina University 
James A. Benton v. University of North Carolina at Charlotte 
Tracey L. Wilson v. North Carolina Central University 
Rex A. Coughenour v. University of North Carolina at Chapel Hill 
Rashmi P. Eddins v. University of North Carolina at Charlotte 
Anna Anita Huff v. Dr. Lonnie Sharpe/Dr. Reza Salami-Coll. /Engineering 
Rex A. Coughenour v. University of North Carolina at Chapel Hill 



CASE 




DATE OF 


PUBLISHED DECISION 


NUMBER 


ALJ 


DECISION 


REGISTER CITATION 


99 OSP 0278 


Gray 


1 1/04/99 




99 OSP 0281 


Chess 


03/07/00 




99 OSP 03 16 


Gray 


10/22/99 




99 OSP 0325 


Owens 


08/25/99 




99 OSP 0444 


Morison 


12/15/99 




99 OSP 05 16 


Gray 


08/31/99 




99 OSP 0533 


Mann 


09/24/99 




99 OSP 0549 


Gray 


12/21/99 




99 OSP 0609 


Gray 


07/07/99 




99 OSP 0671 


Gray 


07/13/99 




99 OSP 0673*' 


Gray 


08/16/99 




99 OSP 0763 


Owens 


09/03/99 




99 OSP 1010 


Morrison 


03/24/00 




99 OSP 1055 


Gray 


1 1/29/99 




99 OSP 1090 


Morrison 


1 1/09/99 




99 OSP 1124 


Lassiter 


03/06/00 




99 OSP 1157 


Morrison 


02/22/00 


14:19 NCR 1800 


99 OSP 1279 


Lassiter 


04/04/00 




99 OSP 1357 


Chess 


01/21/00 




99 OSP 1382 


Marm 


02/04/00 




Mann 


02/09/00 






99 OSP 1454 


Morrison 


12/29/99 




99 OSP 1481 


Maim 


02/09/00 




99 OSP 1483 


Phipps 


09/22/99 




99 OSP 1711 


Mann 


03/22/00 




99 OSP 0456 


Morrison 


06/02/99 




99 OSP 0308 


Phipps 


06/11/99 




99 OSP 0667 


Gray 


07/28/99 




99 OSP 0189 


Wade 


09/04/99 




99 OSP 0273 


Gray 


08/04/99 




99 OSP 0691 


Reilly 


08/16/99 




99 OSP 0979 


Wade 


11/22/99 




98 OSP 0836 


Morrison 


05/20/99 




98 OSP 1028 


Gray 


09/30/99 




99 OSP 0034 


Maim 


06/23/99 




99 OSP 0105 


Mann 


06/11/99 




99 OSP 0142 


Morrison 


06/08/99 




Owens 


06/23/99 






99 OSP 0264 


Gray 


08/20/99 




99 OSP 0625 


Gray 


12/02/99 


14:14 NCR 1336 


99 OSP 0739 


Reilly 


12/03/99 


14:14 NCR 1339 


00 OSP 0049 


Gray 


04/03/00 




97 OSP 0819 


Phipps 


08/02/99 




97 OSP 1268*- 


Phipps 


07/06/99 




97 OSP 1269'= 


Phipps 


07/06/99 




97 OSP 1270*' 


Phipps 


07/06/99 




98 OSP 1618 


Reilly 


06/24/99 




99 OSP 0047 


Wade 


10/08/99 




99 OSP 0388 


Chess 


12/06/99 




99 OSP 051 7*" 


Reilly 


08/27/99 




99 OSP 0557 


Gray 


02/22/00 




99 OSP 0599 


Chess 


07/16/99 




99 OSP 0623*' 


Reilly 


08/27/99 





i 



2021 



NORTH CAROLINA REGISTER 



May 15, 2000 



14:22 



CONTESTED CASE DECISIONS 



AGENCY 

Thomas Michael Chamberlin v. UNC @ Chapel Hill, Dept. of University 

Housing, Division of Student Affairs 
Halycon Tudie Blake v. University of North Carolina at Chapel Hill 
Bridgette R. Booker v. Winston-Salem State University 
Rex A. Coughenour v. University of North Carolina at Chapel Hill 
Temperance T. Tobe v. North Carolina Central University 
Phyllis Martin v. NC A & T State University 
Inez Eason v. University of North Carolina at Wilmington 
James W. Murrell v. University of North Carolina at Chapel Hill 
Harold Richardson v. University of North Carolina at Charlotte 
Albertina Thompson v. Chancellor James Renick of NC A & T Univ. 
Arthur Cheetham-Smart v. North Carolina Central University 

Wildlife Commission 

James L. Bridges v. Wildbfe Commission 

DEPARTMENT OF LABOR 

Bellacino's v. Department of Labor 

DEPARTMENT OF TRANSPORTATION 

Peter Kay., Stem v. Department of Transportation 

DEPARTMENT OF STATE TREASURER 

Suzaime M. Moravick v. Retirement Systems Division 

UNIVERSITY OF NORTH CAROLINA 

Stephanie A. Payne v. UNC Hospitals 
Barbara A. Russell v. UNC Hospitals 
Robin Perkins Stephens v. UNC Hospitals 
Rita Jo Kincaid v. UNC Hospitals 
Rita Jo Kincaid v. UNC Hospitals 
Edna Heath v. UNC Hospitals 
Clinton E. Taylor, Sr., v. UNC Hospitals 
Walid Sadak v. UNC Hospitals 



CASE 




NUMBER 


ALJ 


99 OSP 0674*' 


Gray 


99 OSP 0686 


Gray 


99 OSP 0731 


Chess 


99 OSP osao'" 


Reilly 


99 OSP 0865 


Chess 


99 OSP 1030 


Lassiter 


99 OSP 1069 


Mann 


99 OSP 1102 


Morrison 


99 OSP 1208 


Wade 


99 OSP 1578 


Gray 


00 OSP 0019 


Gray 


99 OSP 1351 


Lassiter 


99DOL12I6 


Reilly 


99 DOT 0668 


Owens 


99DST14I8 


Mann 


99 UNC 0375 


Morrison 


99 UNC 0540 


Gray 


99 UNC 0563 


Owens 


99 UNC 0746*- 


Reilly 


99 UNC 0747*- 


Reilly 


99 UNC 0943 


Chess 


99 UNC 1117 


Morrison 


99 UNC 1411 


Mann 



DATE OF 
DECISION 

08/16/99 

07/08/99 
09/03/99 
08/27/99 
08/24/99 
01/04/00 
02/14/00 
11/29/99 
11/15/99 
12/17/99 
04/07/00 



03/16/00 



12/14/99 



07/29/99 



03/28/00 



06/21/99 
08/11/99 
07/21/99 
08/09/99 
08/09/99 
10/15/99 
12/22/99 
03/21/00 



PUBLISHED DECISION 
REGISTER CTTATION 



14:22 



NORTH CAROLINA REGISTER 



May 15, 2000 



2022 



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